| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,767 |
1,182 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,632 |
1,357 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
586 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
653 |
489 |
$35K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,940 |
1,788 |
$30K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,939 |
1,787 |
$30K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
993 |
989 |
$14K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
750 |
740 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
330 |
222 |
$12K |
| 86780 |
|
1,126 |
1,121 |
$11K |
| 86803 |
|
603 |
603 |
$5K |
| 87806 |
|
258 |
255 |
$4K |
| 87210 |
|
914 |
894 |
$3K |
| 99442 |
|
51 |
49 |
$2K |
| 81025 |
|
357 |
350 |
$698.32 |
| 87081 |
|
145 |
136 |
$581.91 |
| 86703 |
|
16 |
16 |
$228.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$221.19 |
| 83986 |
|
186 |
183 |
$163.88 |
| 81002 |
|
13 |
13 |
$26.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
113 |
112 |
$0.00 |