| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
722 |
508 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
347 |
221 |
$22K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
312 |
283 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
150 |
130 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
149 |
129 |
$16K |
| 88142 |
|
208 |
175 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
92 |
$9K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
168 |
153 |
$7K |
| 87510 |
|
27 |
25 |
$2K |
| 87480 |
|
27 |
25 |
$2K |
| 87660 |
|
27 |
25 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$909.18 |
| 81025 |
|
112 |
97 |
$588.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
12 |
$559.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
33 |
$484.73 |
| 86850 |
|
14 |
13 |
$403.74 |
| 86780 |
|
13 |
12 |
$366.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
14 |
$361.26 |
| 86900 |
|
14 |
13 |
$270.94 |
| 86901 |
|
14 |
13 |
$267.47 |
| 3078F |
|
2,372 |
884 |
$4.52 |
| 1036F |
|
627 |
244 |
$0.98 |
| 3074F |
|
1,846 |
562 |
$0.51 |
| 4004F |
|
47 |
46 |
$0.21 |