| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,264 |
2,125 |
$318K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
724 |
578 |
$64K |
| 59430 |
|
230 |
228 |
$56K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
327 |
313 |
$55K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
265 |
259 |
$42K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
145 |
144 |
$35K |
| 59025 |
Fetal non-stress test |
229 |
152 |
$26K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
297 |
289 |
$23K |
| 80306 |
|
172 |
119 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
90 |
64 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
363 |
352 |
$11K |
| 82950 |
|
231 |
228 |
$5K |
| 87806 |
|
27 |
27 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$2K |
| 85018 |
|
127 |
124 |
$2K |
| 86762 |
|
14 |
14 |
$882.00 |
| 86592 |
|
27 |
27 |
$845.33 |
| 87340 |
|
14 |
14 |
$693.00 |