| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,384 |
1,005 |
$56K |
| 0502F |
|
671 |
483 |
$27K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
322 |
189 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
289 |
175 |
$13K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
215 |
114 |
$6K |
| 87511 |
|
130 |
57 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
144 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
54 |
29 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
13 |
$921.77 |
| 76830 |
Ultrasound, transvaginal |
16 |
12 |
$862.80 |
| 81025 |
|
103 |
47 |
$304.50 |