| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
2,824 |
1,127 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,987 |
1,427 |
$105K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,266 |
958 |
$99K |
| 59425 |
|
535 |
378 |
$46K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
413 |
141 |
$23K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
605 |
512 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
604 |
512 |
$16K |
| 76820 |
|
442 |
153 |
$13K |
| 87660 |
|
723 |
603 |
$11K |
| 87480 |
|
719 |
602 |
$11K |
| 87510 |
|
738 |
617 |
$11K |
| 81025 |
|
723 |
601 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
29 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,315 |
1,041 |
$3K |
| 80305 |
|
279 |
230 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
20 |
$2K |
| 87150 |
|
53 |
42 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
14 |
$1K |
| 59025 |
Fetal non-stress test |
51 |
42 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
12 |
$1K |
| 87081 |
|
52 |
42 |
$267.86 |
| 0500F |
|
17 |
15 |
$0.00 |
| 0502F |
|
1,797 |
864 |
$0.00 |