| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,404 |
2,674 |
$264K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,014 |
1,579 |
$104K |
| 99215 |
Prolong outpt/office vis |
87 |
86 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
159 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
175 |
174 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
165 |
164 |
$4K |
| 88142 |
|
205 |
204 |
$4K |
| 76801 |
|
27 |
27 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
38 |
38 |
$1K |
| 99000 |
|
69 |
68 |
$247.71 |
| 0500F |
|
17 |
17 |
$0.00 |