| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
909 |
772 |
$73K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
193 |
181 |
$27K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
193 |
181 |
$23K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
58 |
54 |
$9K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
100 |
100 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
140 |
137 |
$6K |
| 86780 |
|
90 |
90 |
$4K |
| 86803 |
|
24 |
24 |
$2K |
| 87340 |
|
25 |
25 |
$2K |
| 76801 |
|
13 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$744.03 |
| 81025 |
|
19 |
15 |
$727.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$692.63 |
| 86850 |
|
12 |
12 |
$643.99 |
| 86900 |
|
12 |
12 |
$609.51 |
| 86901 |
|
12 |
12 |
$609.51 |
| 87210 |
|
29 |
27 |
$514.64 |
| 83986 |
|
13 |
12 |
$276.15 |
| 3078F |
|
115 |
107 |
$0.40 |
| 3074F |
|
74 |
71 |
$0.07 |