| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
647 |
628 |
$97K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
645 |
626 |
$75K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,059 |
1,618 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
457 |
$32K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
182 |
126 |
$26K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
294 |
284 |
$24K |
| 86780 |
|
290 |
279 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
205 |
196 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
110 |
106 |
$8K |
| 86803 |
|
57 |
54 |
$5K |
| 87660 |
|
58 |
56 |
$4K |
| 87340 |
|
58 |
55 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
54 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
27 |
26 |
$2K |
| 87210 |
|
45 |
44 |
$953.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$335.88 |
| 3078F |
|
982 |
783 |
$5.20 |
| 1036F |
|
248 |
229 |
$0.99 |
| 3074F |
|
479 |
402 |
$0.28 |