| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
664 |
510 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
207 |
135 |
$19K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
387 |
346 |
$17K |
| 0502F |
|
151 |
121 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
168 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
329 |
247 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
329 |
247 |
$12K |
| 86780 |
|
390 |
347 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
87 |
70 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
138 |
87 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
439 |
386 |
$2K |
| 86803 |
|
151 |
126 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
51 |
49 |
$1K |
| 87340 |
|
126 |
109 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
32 |
28 |
$1K |
| 86762 |
|
86 |
69 |
$857.38 |
| 81025 |
|
102 |
96 |
$567.72 |
| 96127 |
|
33 |
27 |
$481.80 |
| 82950 |
|
106 |
101 |
$480.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
68 |
63 |
$461.90 |
| 96160 |
|
32 |
26 |
$451.73 |
| 84702 |
|
16 |
14 |
$167.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$166.77 |