| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
117 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
553 |
516 |
$4K |
| 51741 |
|
183 |
177 |
$586.68 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
125 |
124 |
$524.26 |
| 99490 |
Ccm add 20min |
27 |
27 |
$388.24 |
| 81001 |
|
549 |
522 |
$147.56 |
| 51798 |
|
39 |
38 |
$111.50 |
| 82570 |
|
30 |
28 |
$4.69 |
| 84481 |
|
74 |
74 |
$0.00 |
| 84155 |
|
61 |
61 |
$0.00 |
| 82947 |
|
61 |
61 |
$0.00 |
| 84520 |
|
61 |
61 |
$0.00 |
| 83003 |
|
61 |
61 |
$0.00 |
| 82627 |
|
90 |
90 |
$0.00 |
| 84403 |
|
91 |
91 |
$0.00 |
| 82247 |
|
61 |
61 |
$0.00 |
| 82310 |
|
61 |
61 |
$0.00 |
| 84460 |
|
60 |
60 |
$0.00 |
| 82977 |
|
61 |
61 |
$0.00 |
| 84450 |
|
61 |
61 |
$0.00 |
| 84295 |
|
61 |
61 |
$0.00 |
| 82565 |
|
61 |
61 |
$0.00 |
| 87641 |
|
12 |
12 |
$0.00 |
| 84550 |
|
61 |
61 |
$0.00 |
| 84439 |
|
74 |
74 |
$0.00 |
| 87653 |
|
12 |
12 |
$0.00 |
| 87481 |
|
12 |
12 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$0.00 |
| 82040 |
|
61 |
61 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
73 |
73 |
$0.00 |
| 84075 |
|
61 |
61 |
$0.00 |
| 84154 |
|
77 |
77 |
$0.00 |
| 82150 |
|
61 |
61 |
$0.00 |
| 82728 |
|
60 |
60 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
32 |
32 |
$0.00 |
| 83002 |
|
51 |
51 |
$0.00 |
| 87640 |
|
12 |
12 |
$0.00 |
| 84402 |
|
91 |
91 |
$0.00 |
| 87500 |
|
12 |
12 |
$0.00 |
| 82533 |
|
62 |
62 |
$0.00 |
| 84153 |
|
76 |
76 |
$0.00 |
| 82670 |
|
90 |
90 |
$0.00 |
| 84132 |
|
61 |
61 |
$0.00 |
| 84144 |
|
78 |
77 |
$0.00 |
| 82435 |
|
61 |
61 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45 |
45 |
$0.00 |
| 83001 |
|
51 |
51 |
$0.00 |
| 84270 |
|
91 |
91 |
$0.00 |
| 82746 |
|
62 |
62 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$0.00 |