| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
828 |
660 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
230 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
37 |
$3K |
| 87481 |
|
85 |
28 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
30 |
$2K |
| 0500F |
|
51 |
40 |
$2K |
| 76830 |
Ultrasound, transvaginal |
19 |
18 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
85 |
50 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
52 |
28 |
$1K |
| 87511 |
|
52 |
28 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
31 |
13 |
$503.80 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
31 |
13 |
$503.80 |
| 87210 |
|
71 |
64 |
$286.70 |
| 81025 |
|
65 |
60 |
$159.96 |
| 81002 |
|
12 |
12 |
$31.20 |