| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,244 |
1,048 |
$88K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
730 |
601 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
728 |
602 |
$28K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
461 |
385 |
$23K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
671 |
549 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
170 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
80 |
$11K |
| 86780 |
|
477 |
385 |
$7K |
| 86803 |
|
412 |
330 |
$6K |
| 96127 |
|
391 |
301 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
116 |
87 |
$5K |
| 87340 |
|
387 |
315 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
63 |
$4K |
| 81025 |
|
380 |
342 |
$2K |
| 87511 |
|
45 |
45 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
281 |
232 |
$2K |
| 99459 |
|
92 |
90 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
37 |
28 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
92 |
84 |
$884.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$812.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
64 |
53 |
$405.10 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
18 |
18 |
$311.71 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
12 |
$260.58 |
| 96160 |
|
15 |
13 |
$219.00 |
| 86762 |
|
15 |
12 |
$139.54 |
| 82950 |
|
13 |
13 |
$60.58 |