| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
504 |
$36K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
137 |
135 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
136 |
134 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
148 |
137 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
89 |
$5K |
| 80061 |
Lipid panel |
92 |
92 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
40 |
40 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
73 |
73 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
29 |
28 |
$2K |
| 86803 |
|
42 |
42 |
$2K |
| 86780 |
|
28 |
28 |
$1K |
| 80053 |
Comprehensive metabolic panel |
28 |
28 |
$939.62 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
14 |
$205.44 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
28 |
$119.49 |
| 81002 |
|
13 |
13 |
$28.33 |