| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
457 |
448 |
$51K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
662 |
650 |
$47K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
157 |
155 |
$23K |
| 76801 |
|
301 |
279 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
366 |
351 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
264 |
260 |
$16K |
| 76813 |
|
223 |
215 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
145 |
142 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
60 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
25 |
25 |
$2K |
| 87340 |
|
25 |
25 |
$2K |
| 86780 |
|
25 |
25 |
$1K |
| 85027 |
|
31 |
29 |
$993.15 |
| 86850 |
|
14 |
14 |
$821.37 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
25 |
$722.39 |
| 86900 |
|
14 |
14 |
$643.17 |
| 86901 |
|
14 |
14 |
$591.05 |
| 81001 |
|
13 |
13 |
$493.27 |
| 81025 |
|
14 |
13 |
$73.68 |