| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,449 |
1,082 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
120 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
107 |
90 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
106 |
89 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
45 |
44 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
31 |
$2K |
| 87653 |
|
28 |
28 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
108 |
95 |
$553.07 |
| 82950 |
|
80 |
66 |
$307.56 |
| 86803 |
|
19 |
12 |
$303.30 |
| 87210 |
|
54 |
46 |
$211.50 |
| 86592 |
|
28 |
27 |
$104.00 |
| 36415 |
Collection of venous blood by venipuncture |
268 |
222 |
$3.00 |