| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
48 |
27 |
$44K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
861 |
673 |
$37K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
858 |
667 |
$37K |
| 0502F |
|
687 |
499 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
224 |
$22K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
705 |
557 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
186 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
169 |
141 |
$10K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
230 |
127 |
$9K |
| 87481 |
|
93 |
69 |
$7K |
| 87511 |
|
91 |
70 |
$4K |
| 76830 |
Ultrasound, transvaginal |
85 |
64 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
77 |
69 |
$4K |
| 76801 |
|
71 |
56 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
80 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
48 |
46 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
37 |
28 |
$2K |
| 59025 |
Fetal non-stress test |
125 |
95 |
$1K |
| 87653 |
|
14 |
14 |
$659.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$579.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
19 |
12 |
$534.53 |
| 81025 |
|
102 |
67 |
$347.20 |