| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,136 |
2,289 |
$287K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
257 |
255 |
$61K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
390 |
376 |
$53K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
488 |
430 |
$43K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
232 |
212 |
$38K |
| 59025 |
Fetal non-stress test |
402 |
255 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
293 |
$36K |
| 80306 |
|
393 |
329 |
$29K |
| 59430 |
|
117 |
115 |
$28K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
388 |
372 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
118 |
85 |
$18K |
| 82950 |
|
288 |
284 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
165 |
155 |
$4K |
| 87653 |
|
27 |
27 |
$1K |
| 85018 |
|
101 |
100 |
$1K |
| 81002 |
|
146 |
88 |
$517.28 |
| 87077 |
|
32 |
32 |
$514.82 |
| 87808 |
|
12 |
12 |
$390.00 |