| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
61 |
47 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
32 |
$2K |
| 87481 |
|
38 |
12 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
28 |
12 |
$1K |
| 87511 |
|
28 |
12 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
28 |
14 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27 |
14 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
32 |
15 |
$916.15 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
12 |
$877.18 |
| 0500F |
|
14 |
12 |
$582.12 |
| 81025 |
|
24 |
19 |
$52.38 |