| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0502F |
|
1,661 |
972 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,145 |
828 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
314 |
$33K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
254 |
152 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
252 |
152 |
$10K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
216 |
128 |
$6K |
| 0500F |
|
92 |
69 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
78 |
61 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
45 |
35 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
24 |
$3K |
| 76801 |
|
49 |
40 |
$3K |
| 59430 |
|
13 |
13 |
$2K |
| 99385 |
|
20 |
13 |
$2K |
| 87511 |
|
53 |
28 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
50 |
34 |
$1K |
| 86780 |
|
79 |
61 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$834.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
93 |
77 |
$531.14 |
| 81025 |
|
107 |
82 |
$478.39 |
| 86803 |
|
24 |
14 |
$430.55 |
| 87340 |
|
22 |
14 |
$314.50 |
| 86762 |
|
26 |
16 |
$224.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$133.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
13 |
$129.80 |