| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
266 |
241 |
$243K |
| 0502F |
|
2,119 |
1,440 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
604 |
446 |
$59K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
610 |
503 |
$33K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
724 |
577 |
$30K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
724 |
579 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
156 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
94 |
$12K |
| 86780 |
|
610 |
501 |
$10K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
233 |
142 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
764 |
622 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
86 |
68 |
$4K |
| 0503F |
|
40 |
27 |
$3K |
| 86803 |
|
185 |
143 |
$3K |
| 87511 |
|
58 |
27 |
$3K |
| 87340 |
|
178 |
142 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
41 |
24 |
$2K |
| 86762 |
|
141 |
108 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$547.67 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$544.95 |
| 80053 |
Comprehensive metabolic panel |
35 |
29 |
$352.24 |
| 82950 |
|
75 |
73 |
$342.70 |
| 82570 |
|
62 |
40 |
$277.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
39 |
$274.25 |
| 84550 |
|
16 |
14 |
$57.46 |