| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,661 |
2,236 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,022 |
474 |
$93K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
217 |
$10K |
| 81025 |
|
1,142 |
922 |
$5K |
| 81002 |
|
2,054 |
1,424 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
38 |
$4K |
| 59025 |
Fetal non-stress test |
240 |
133 |
$3K |
| 0503F |
|
36 |
15 |
$3K |
| 90686 |
|
138 |
109 |
$3K |
| 96127 |
|
160 |
140 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
35 |
28 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
35 |
28 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
19 |
15 |
$1K |
| 0500F |
|
28 |
28 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
50 |
$603.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
13 |
$109.06 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |