| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,346 |
1,202 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
393 |
346 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
233 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
91 |
89 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
91 |
89 |
$8K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
78 |
77 |
$5K |
| 83013 |
|
13 |
12 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
39 |
37 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
12 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
46 |
43 |
$807.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
49 |
$385.98 |
| 86803 |
|
12 |
12 |
$382.71 |
| 86780 |
|
13 |
13 |
$326.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$294.70 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$217.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
15 |
$82.76 |
| 82962 |
|
17 |
15 |
$22.14 |