| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
214 |
182 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161 |
157 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
71 |
59 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
75 |
68 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
46 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
94 |
85 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
93 |
84 |
$3K |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$947.31 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$852.28 |
| 81025 |
|
144 |
132 |
$788.75 |
| 80050 |
General health panel |
12 |
12 |
$361.90 |
| 83735 |
|
40 |
40 |
$253.46 |
| 84481 |
|
25 |
25 |
$235.68 |
| 84439 |
|
25 |
25 |
$206.54 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
14 |
$100.49 |