| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
27 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
61 |
57 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
61 |
57 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
158 |
130 |
$328.85 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
12 |
$315.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
26 |
$159.55 |