| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
521 |
433 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
199 |
148 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
126 |
84 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
129 |
86 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
91 |
56 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
32 |
29 |
$2K |
| 81025 |
|
42 |
31 |
$113.61 |