| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
311 |
306 |
$45K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
309 |
304 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
875 |
730 |
$26K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
163 |
162 |
$12K |
| 86803 |
|
90 |
89 |
$8K |
| 86780 |
|
144 |
143 |
$7K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
80 |
78 |
$6K |
| 87340 |
|
84 |
84 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
96 |
90 |
$3K |
| 87660 |
|
39 |
38 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
12 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$1K |
| 96040 |
|
13 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$359.17 |
| 3074F |
|
14 |
12 |
$0.04 |
| 3078F |
|
14 |
12 |
$0.04 |