| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76872 |
|
1,212 |
1,166 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,232 |
1,182 |
$37K |
| 76770 |
|
900 |
875 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
950 |
922 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
391 |
382 |
$12K |
| 76775 |
|
246 |
229 |
$6K |
| 51741 |
|
1,185 |
1,122 |
$6K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$3K |
| 76857 |
|
48 |
47 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$1K |
| 87481 |
|
12 |
12 |
$701.82 |
| 87653 |
|
12 |
12 |
$196.50 |
| 87640 |
|
12 |
12 |
$196.50 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$196.50 |
| 87500 |
|
12 |
12 |
$196.50 |
| 81002 |
|
82 |
82 |
$161.33 |
| 99490 |
Ccm add 20min |
12 |
12 |
$129.59 |