| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0502F |
|
924 |
603 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
374 |
301 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$913.71 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
17 |
15 |
$732.80 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17 |
15 |
$732.80 |
| 59025 |
Fetal non-stress test |
17 |
12 |
$438.10 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
16 |
14 |
$407.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
28 |
$313.92 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$150.75 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
82 |
$69.70 |
| 87210 |
|
15 |
14 |
$61.10 |
| 81001 |
|
20 |
12 |
$42.74 |