| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,859 |
2,088 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,930 |
1,433 |
$113K |
| 87511 |
|
1,124 |
378 |
$49K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
965 |
552 |
$41K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
952 |
539 |
$40K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,407 |
597 |
$39K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
978 |
334 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
343 |
213 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
180 |
145 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
186 |
152 |
$12K |
| 0500F |
|
222 |
189 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
123 |
108 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
112 |
104 |
$7K |
| 87481 |
|
134 |
71 |
$7K |
| 76801 |
|
56 |
45 |
$4K |
| 86780 |
|
187 |
153 |
$3K |
| 81025 |
|
573 |
440 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
27 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
165 |
142 |
$2K |
| 87653 |
|
26 |
25 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
195 |
162 |
$1K |
| 86803 |
|
37 |
30 |
$587.33 |
| 87340 |
|
33 |
28 |
$397.95 |
| 82950 |
|
38 |
38 |
$169.72 |
| 86762 |
|
16 |
13 |
$138.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
14 |
$94.50 |