| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,989 |
2,190 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
770 |
600 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
240 |
228 |
$20K |
| 0500F |
|
351 |
272 |
$16K |
| 59430 |
|
98 |
82 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
147 |
132 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
147 |
132 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
52 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
74 |
58 |
$4K |
| 81003 |
|
1,485 |
1,168 |
$3K |
| 81025 |
|
651 |
544 |
$3K |
| 87808 |
|
174 |
150 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
142 |
117 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
18 |
14 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
39 |
28 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$946.22 |
| 90686 |
|
31 |
28 |
$769.14 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$446.66 |
| 86592 |
|
76 |
59 |
$324.32 |
| 96127 |
|
16 |
13 |
$229.11 |
| 96160 |
|
49 |
41 |
$219.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$159.76 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
12 |
$149.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
13 |
$106.29 |
| 87205 |
|
27 |
25 |
$101.15 |
| 87081 |
|
15 |
12 |
$71.74 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
179 |
$61.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |