| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,478 |
1,753 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
151 |
$777.00 |
| 81025 |
|
4,823 |
1,860 |
$595.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
458 |
170 |
$158.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
13 |
$117.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
24 |
$95.00 |
| 85018 |
|
963 |
382 |
$29.86 |
| 85014 |
|
1,222 |
480 |
$29.86 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
176 |
76 |
$19.26 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
114 |
47 |
$19.26 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
184 |
77 |
$19.26 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
436 |
84 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,211 |
803 |
$0.00 |
| 82950 |
|
564 |
219 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
25 |
13 |
$0.00 |
| 81001 |
|
102 |
36 |
$0.00 |
| 59410 |
|
30 |
13 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
12 |
$0.00 |
| 82947 |
|
760 |
305 |
$0.00 |
| 59426 |
|
7,937 |
1,646 |
$0.00 |
| 59425 |
|
3,291 |
1,054 |
$0.00 |
| 80061 |
Lipid panel |
488 |
189 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
393 |
144 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
108 |
27 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
197 |
28 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
26 |
12 |
$0.00 |