| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81513 |
|
322 |
317 |
$37K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,157 |
1,151 |
$32K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,157 |
1,151 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
959 |
913 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
169 |
169 |
$11K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
322 |
317 |
$9K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
316 |
316 |
$9K |
| 88142 |
|
532 |
531 |
$9K |
| S4993 |
Contraceptive pills for birth control |
127 |
126 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
153 |
$6K |
| 84703 |
|
879 |
845 |
$5K |
| 87800 |
|
155 |
153 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
213 |
213 |
$4K |
| 76830 |
Ultrasound, transvaginal |
42 |
40 |
$4K |
| 86780 |
|
207 |
204 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$415.52 |
| 80074 |
|
34 |
34 |
$263.02 |
| 90686 |
|
14 |
14 |
$239.85 |
| 81003 |
|
88 |
87 |
$154.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$153.44 |
| 87340 |
|
16 |
16 |
$134.96 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$88.14 |
| 87481 |
|
251 |
248 |
$0.00 |