| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,055 |
1,671 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
455 |
$24K |
| 87481 |
|
184 |
102 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
170 |
110 |
$7K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
250 |
173 |
$7K |
| 87511 |
|
155 |
101 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
154 |
97 |
$6K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
140 |
98 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
44 |
40 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
28 |
$2K |
| 76801 |
|
19 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
30 |
$894.95 |
| 81025 |
|
240 |
180 |
$790.30 |
| 59025 |
Fetal non-stress test |
18 |
13 |
$428.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$137.34 |