| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,247 |
1,038 |
$29K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,232 |
1,024 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
438 |
352 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
662 |
588 |
$18K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
687 |
546 |
$16K |
| 87480 |
|
941 |
788 |
$13K |
| 87510 |
|
933 |
787 |
$13K |
| 87660 |
|
407 |
345 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
50 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
86 |
62 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
41 |
$3K |
| 81025 |
|
109 |
95 |
$614.95 |
| 36415 |
Collection of venous blood by venipuncture |
187 |
147 |
$436.39 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
97 |
63 |
$394.53 |
| 81003 |
|
18 |
12 |
$19.46 |