| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,110 |
1,025 |
$45K |
| 0502F |
|
302 |
232 |
$13K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
203 |
200 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
203 |
200 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
95 |
92 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
67 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
64 |
62 |
$4K |
| 76830 |
Ultrasound, transvaginal |
59 |
59 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
18 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$343.92 |
| 87210 |
|
58 |
57 |
$253.80 |
| 88142 |
|
26 |
26 |
$198.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
33 |
$189.42 |
| 82950 |
|
13 |
13 |
$60.58 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
41 |
$0.00 |