| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,627 |
1,280 |
$70K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
292 |
252 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
548 |
444 |
$22K |
| 76801 |
|
41 |
40 |
$3K |
| 0500F |
|
57 |
53 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
27 |
$2K |
| 87481 |
|
49 |
14 |
$2K |
| 76830 |
Ultrasound, transvaginal |
18 |
12 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
77 |
33 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
78 |
33 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$862.80 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$838.82 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
28 |
14 |
$733.28 |
| 87511 |
|
28 |
14 |
$732.80 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
18 |
16 |
$549.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
29 |
15 |
$540.98 |
| 81025 |
|
36 |
30 |
$87.72 |