| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
328 |
$26K |
| 59426 |
|
288 |
181 |
$21K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
496 |
436 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
495 |
435 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
117 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
54 |
52 |
$4K |
| 59425 |
|
52 |
43 |
$4K |
| 87480 |
|
144 |
139 |
$2K |
| 87660 |
|
143 |
139 |
$2K |
| 87510 |
|
143 |
139 |
$2K |
| 81025 |
|
112 |
92 |
$620.51 |
| 81002 |
|
16 |
16 |
$16.50 |