| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
531 |
238 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
146 |
$14K |
| 59425 |
|
100 |
84 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
93 |
80 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
83 |
41 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
137 |
120 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
137 |
120 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
20 |
$1K |
| 87660 |
|
96 |
79 |
$1K |
| 87510 |
|
96 |
79 |
$1K |
| 87480 |
|
94 |
79 |
$1K |