| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,051 |
861 |
$35K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
185 |
180 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
143 |
133 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
262 |
$8K |
| 99000 |
|
437 |
423 |
$5K |
| 87800 |
|
97 |
97 |
$4K |
| 81025 |
|
550 |
528 |
$4K |
| 81002 |
|
1,650 |
1,346 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
135 |
131 |
$3K |
| 87340 |
|
195 |
192 |
$2K |
| 82607 |
|
135 |
132 |
$2K |
| 76818 |
|
25 |
12 |
$2K |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$1K |
| 87480 |
|
71 |
71 |
$1K |
| 87510 |
|
71 |
71 |
$1K |
| 87660 |
|
71 |
71 |
$1K |
| 86592 |
|
250 |
243 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$889.59 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$823.35 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
83 |
83 |
$629.37 |
| 82950 |
|
41 |
40 |
$53.16 |