| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
520 |
514 |
$87K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
468 |
462 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
506 |
495 |
$24K |
| 86803 |
|
103 |
101 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
102 |
100 |
$7K |
| 87480 |
|
60 |
60 |
$5K |
| 87340 |
|
102 |
100 |
$5K |
| 86780 |
|
102 |
100 |
$4K |
| 87660 |
|
46 |
46 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 81001 |
|
76 |
72 |
$1K |
| 87088 |
|
39 |
37 |
$1K |
| 87510 |
|
16 |
16 |
$871.13 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$773.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
26 |
$659.48 |
| 81025 |
|
30 |
29 |
$148.98 |
| 87210 |
|
27 |
27 |
$76.68 |
| 83986 |
|
27 |
27 |
$64.44 |