| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
93 |
93 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
92 |
92 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
24 |
24 |
$863.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$450.55 |
| 90686 |
|
14 |
14 |
$402.59 |
| 86780 |
|
12 |
12 |
$211.23 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$150.50 |