| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
923 |
885 |
$29K |
| 59200 |
|
548 |
544 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
197 |
195 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
146 |
144 |
$5K |
| 59840 |
|
12 |
12 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
53 |
53 |
$2K |
| 76998 |
|
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$438.10 |
| 81025 |
|
377 |
374 |
$50.35 |
| 36415 |
Collection of venous blood by venipuncture |
534 |
527 |
$22.35 |
| J2704 |
Injection, propofol, 10 mg |
15 |
15 |
$4.06 |
| 85018 |
|
37 |
36 |
$0.00 |