| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,883 |
1,812 |
$78K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
362 |
275 |
$27K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
177 |
143 |
$11K |
| 87481 |
|
32 |
30 |
$7K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
32 |
30 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
41 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44 |
41 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
31 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
247 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
161 |
149 |
$2K |
| 99464 |
|
17 |
15 |
$1K |
| 87480 |
|
16 |
16 |
$667.97 |
| 87510 |
|
16 |
16 |
$667.97 |
| 87660 |
|
16 |
16 |
$571.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
43 |
$456.48 |
| 87088 |
|
25 |
25 |
$440.72 |
| 81001 |
|
26 |
26 |
$220.31 |
| 81025 |
|
46 |
44 |
$218.49 |
| 81002 |
|
82 |
74 |
$134.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$121.50 |
| 86701 |
|
13 |
12 |
$95.77 |