| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
961 |
826 |
$40K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
957 |
826 |
$40K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
547 |
470 |
$30K |
| 0502F |
|
389 |
235 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
172 |
$21K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
615 |
512 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
161 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
302 |
271 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
81 |
$10K |
| 86780 |
|
546 |
469 |
$8K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
144 |
99 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
555 |
481 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
45 |
38 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
60 |
55 |
$3K |
| 86803 |
|
185 |
156 |
$3K |
| 86762 |
|
137 |
119 |
$1K |
| 87340 |
|
101 |
90 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$690.24 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$652.46 |
| 81025 |
|
101 |
79 |
$513.85 |
| 82950 |
|
62 |
53 |
$279.37 |