| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,815 |
1,444 |
$119K |
| 99215 |
Prolong outpt/office vis |
455 |
397 |
$37K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
923 |
871 |
$35K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
924 |
871 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
357 |
343 |
$31K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
387 |
379 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
400 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
360 |
348 |
$23K |
| 0500F |
|
813 |
388 |
$19K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
563 |
378 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
597 |
565 |
$15K |
| 87481 |
|
373 |
180 |
$15K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
195 |
180 |
$13K |
| 81025 |
|
1,562 |
1,450 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
141 |
129 |
$9K |
| 87510 |
|
441 |
385 |
$8K |
| 87480 |
|
437 |
385 |
$8K |
| 87660 |
|
327 |
281 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
90 |
39 |
$6K |
| 80305 |
|
273 |
265 |
$3K |
| 87797 |
|
110 |
104 |
$2K |