| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
216 |
188 |
$14K |
| 87510 |
|
441 |
408 |
$7K |
| 87480 |
|
441 |
408 |
$7K |
| 87660 |
|
440 |
407 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,560 |
1,382 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
72 |
67 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18 |
15 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
269 |
241 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
60 |
55 |
$2K |
| 76801 |
|
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$720.72 |
| 87150 |
|
24 |
24 |
$661.18 |
| 86850 |
|
105 |
90 |
$641.09 |
| 86592 |
|
193 |
172 |
$617.31 |
| 90686 |
|
31 |
31 |
$552.87 |
| 90674 |
|
13 |
12 |
$288.60 |
| 82950 |
|
16 |
14 |
$61.50 |