| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
693 |
546 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
316 |
282 |
$46K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
211 |
201 |
$27K |
| 80306 |
|
338 |
278 |
$27K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
210 |
200 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
59 |
57 |
$12K |
| 59025 |
Fetal non-stress test |
87 |
58 |
$10K |
| 59430 |
|
29 |
29 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$4K |
| 80055 |
|
38 |
31 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61 |
59 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
36 |
31 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
30 |
$1K |
| 82950 |
|
55 |
55 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
23 |
17 |
$405.00 |
| 86803 |
|
14 |
13 |
$126.00 |