| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,711 |
1,966 |
$242K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
404 |
347 |
$36K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
233 |
229 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
187 |
$30K |
| 80306 |
|
308 |
250 |
$22K |
| 59025 |
Fetal non-stress test |
192 |
114 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
76 |
76 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
92 |
87 |
$18K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
232 |
228 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
298 |
293 |
$8K |
| 86592 |
|
148 |
147 |
$4K |
| 59430 |
|
12 |
12 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
21 |
12 |
$3K |
| 81003 |
|
373 |
274 |
$3K |
| 82950 |
|
107 |
107 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$261.00 |