| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59841 |
|
78 |
69 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
65 |
54 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
41 |
$3K |
| 81025 |
|
170 |
150 |
$786.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
13 |
$632.61 |
| 86703 |
|
45 |
41 |
$248.19 |
| 64435 |
|
33 |
26 |
$192.82 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
65 |
52 |
$150.82 |
| 85018 |
|
82 |
70 |
$138.97 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
39 |
$106.60 |
| 86901 |
|
33 |
27 |
$64.79 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
137 |
96 |
$31.15 |
| 99000 |
|
298 |
254 |
$0.00 |
| 36416 |
|
161 |
144 |
$0.00 |
| S5000 |
Prescription drug, generic |
86 |
73 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
56 |
45 |
$0.00 |
| A4550 |
Surgical trays |
79 |
69 |
$0.00 |