| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
11,342 |
2,439 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,068 |
3,329 |
$146K |
| 59425 |
|
1,591 |
425 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,136 |
989 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
610 |
282 |
$14K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,026 |
1,109 |
$12K |
| 59410 |
|
59 |
27 |
$12K |
| 85027 |
|
6,228 |
3,077 |
$12K |
| 76830 |
Ultrasound, transvaginal |
692 |
344 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,874 |
1,048 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,873 |
1,048 |
$11K |
| 59025 |
Fetal non-stress test |
987 |
309 |
$8K |
| 87808 |
|
557 |
526 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
972 |
321 |
$5K |
| 87210 |
|
978 |
806 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
134 |
38 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
152 |
60 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
48 |
17 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
25 |
$923.02 |
| 87150 |
|
107 |
40 |
$912.34 |
| 90674 |
|
150 |
74 |
$646.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
90 |
$609.07 |
| 81025 |
|
490 |
186 |
$464.15 |
| 90756 |
|
17 |
15 |
$346.58 |
| 82950 |
|
90 |
26 |
$0.00 |