| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,426 |
2,587 |
$229K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,278 |
1,765 |
$152K |
| 76830 |
Ultrasound, transvaginal |
1,015 |
913 |
$70K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
767 |
724 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
769 |
673 |
$60K |
| 87480 |
|
1,309 |
1,215 |
$34K |
| 87510 |
|
1,308 |
1,215 |
$34K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
607 |
585 |
$27K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
596 |
573 |
$27K |
| 87660 |
|
1,311 |
1,218 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
281 |
255 |
$20K |
| 59025 |
Fetal non-stress test |
310 |
147 |
$9K |
| 59430 |
|
55 |
43 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
338 |
292 |
$3K |
| 0500F |
|
70 |
69 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
50 |
45 |
$2K |
| 81025 |
|
379 |
318 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19 |
13 |
$954.56 |
| 90674 |
|
21 |
12 |
$650.72 |
| 90756 |
|
20 |
20 |
$357.46 |
| 96160 |
|
14 |
13 |
$204.40 |