| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
520 |
508 |
$79K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,959 |
1,532 |
$65K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
513 |
501 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
246 |
$16K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
170 |
169 |
$11K |
| 87660 |
|
144 |
140 |
$9K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
106 |
105 |
$8K |
| 86780 |
|
165 |
164 |
$6K |
| 82728 |
|
71 |
70 |
$6K |
| 81025 |
|
113 |
104 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
55 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
151 |
143 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
60 |
$3K |
| 86803 |
|
14 |
14 |
$1K |
| 86850 |
|
13 |
12 |
$757.84 |
| 82950 |
|
14 |
14 |
$686.39 |
| 87340 |
|
14 |
14 |
$667.68 |
| 87210 |
|
40 |
39 |
$599.39 |
| 86900 |
|
13 |
12 |
$590.24 |
| 86901 |
|
13 |
12 |
$538.12 |