| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
208 |
198 |
$30K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
179 |
172 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
204 |
197 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
77 |
72 |
$5K |
| 86803 |
|
56 |
54 |
$5K |
| 87340 |
|
69 |
64 |
$4K |
| 86780 |
|
56 |
54 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$1K |
| 87480 |
|
12 |
12 |
$768.79 |
| 87660 |
|
12 |
12 |
$688.87 |
| 81002 |
|
120 |
91 |
$398.34 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
12 |
$235.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$223.96 |
| 3078F |
|
508 |
428 |
$1.73 |
| 1036F |
|
229 |
214 |
$0.67 |
| 3074F |
|
410 |
339 |
$0.17 |
| 3079F |
|
50 |
46 |
$0.10 |