| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,462 |
2,746 |
$229K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
131 |
89 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,968 |
1,493 |
$131K |
| 87511 |
|
686 |
187 |
$31K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
688 |
313 |
$30K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
674 |
308 |
$29K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
973 |
362 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
366 |
324 |
$25K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
597 |
170 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
212 |
167 |
$16K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
205 |
146 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
92 |
$12K |
| 0503F |
|
131 |
115 |
$7K |
| 87481 |
|
114 |
43 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
40 |
$4K |
| 86780 |
|
201 |
144 |
$3K |
| 87653 |
|
62 |
61 |
$3K |
| 96127 |
|
185 |
132 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
33 |
$3K |
| 81025 |
|
528 |
382 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
182 |
137 |
$1K |
| 99234 |
|
17 |
13 |
$973.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
47 |
$529.74 |
| 0500F |
|
13 |
12 |
$529.20 |
| 86803 |
|
27 |
13 |
$398.19 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$355.80 |
| 87340 |
|
26 |
12 |
$284.43 |
| 59025 |
Fetal non-stress test |
20 |
13 |
$126.40 |
| 82950 |
|
13 |
13 |
$60.58 |