| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,704 |
4,003 |
$275K |
| 0502F |
|
2,566 |
1,045 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
834 |
676 |
$42K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
897 |
739 |
$31K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
895 |
740 |
$31K |
| 81025 |
|
5,019 |
3,385 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
753 |
556 |
$17K |
| 76830 |
Ultrasound, transvaginal |
152 |
124 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
84 |
67 |
$6K |
| 80305 |
|
416 |
321 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
35 |
29 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
12 |
$627.33 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$550.20 |