| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
5,305 |
2,198 |
$495K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,414 |
1,934 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,836 |
2,254 |
$162K |
| 59425 |
|
1,090 |
780 |
$96K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,077 |
449 |
$68K |
| 76820 |
|
1,080 |
445 |
$37K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
529 |
475 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
532 |
474 |
$15K |
| 87510 |
|
787 |
694 |
$13K |
| 87660 |
|
772 |
680 |
$13K |
| 87480 |
|
770 |
681 |
$13K |
| 81025 |
|
1,404 |
1,234 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
111 |
77 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
70 |
61 |
$6K |
| 80305 |
|
498 |
416 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,958 |
1,605 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$3K |
| 87150 |
|
77 |
68 |
$2K |
| 59025 |
Fetal non-stress test |
78 |
69 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$1K |
| 87081 |
|
76 |
67 |
$445.77 |
| 0502F |
|
3,012 |
1,649 |
$0.00 |
| 0500F |
|
13 |
13 |
$0.00 |
| 0501F |
|
13 |
13 |
$0.00 |