| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,350 |
1,766 |
$102K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
627 |
415 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
445 |
385 |
$26K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
604 |
399 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
542 |
448 |
$19K |
| 87481 |
|
299 |
147 |
$19K |
| 76801 |
|
265 |
223 |
$15K |
| 87511 |
|
281 |
147 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
245 |
209 |
$12K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
441 |
275 |
$12K |
| 76830 |
Ultrasound, transvaginal |
214 |
186 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
200 |
170 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
62 |
$6K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
214 |
132 |
$5K |
| 81025 |
|
614 |
488 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
58 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$754.95 |
| 0500F |
|
15 |
15 |
$661.50 |
| 0503F |
|
14 |
13 |
$651.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$355.20 |
| 81002 |
|
19 |
14 |
$41.60 |