| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,344 |
10,432 |
$297K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
456 |
440 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
848 |
681 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,300 |
1,093 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
853 |
682 |
$6K |
| 99201 |
|
538 |
525 |
$5K |
| 87536 |
|
108 |
105 |
$4K |
| 86780 |
|
1,209 |
1,013 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
438 |
384 |
$3K |
| 86593 |
|
1,878 |
1,592 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
282 |
210 |
$2K |
| 86360 |
|
47 |
47 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
25 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$844.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
91 |
83 |
$328.58 |
| D1999 |
|
12 |
12 |
$174.12 |
| 82784 |
|
32 |
32 |
$53.22 |
| 81000 |
|
234 |
198 |
$43.30 |
| 87590 |
|
147 |
125 |
$0.00 |
| 86592 |
|
15 |
12 |
$0.00 |
| 87490 |
|
147 |
125 |
$0.00 |