| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
483 |
315 |
$65K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
401 |
238 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
185 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
198 |
$16K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
257 |
253 |
$16K |
| 86780 |
|
203 |
202 |
$8K |
| 84403 |
|
80 |
76 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
21 |
$4K |
| 86803 |
|
100 |
100 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
96 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
116 |
116 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15 |
15 |
$1K |
| 86708 |
|
30 |
30 |
$897.38 |
| 86704 |
|
29 |
29 |
$855.92 |
| 86706 |
|
30 |
30 |
$790.20 |
| 87340 |
|
29 |
29 |
$733.08 |
| 84270 |
|
13 |
13 |
$700.93 |
| 82565 |
|
18 |
18 |
$237.72 |
| 86592 |
|
16 |
16 |
$163.86 |
| 85014 |
|
13 |
13 |
$159.99 |
| 82040 |
|
13 |
13 |
$125.07 |