| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
87 |
85 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
87 |
85 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
109 |
$8K |
| 87480 |
|
104 |
94 |
$7K |
| 87660 |
|
104 |
94 |
$6K |
| 86803 |
|
27 |
27 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
28 |
$2K |
| 87340 |
|
27 |
27 |
$1K |
| 86780 |
|
27 |
27 |
$1K |
| 87510 |
|
29 |
25 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$572.99 |
| 81001 |
|
13 |
13 |
$466.62 |
| 3078F |
|
327 |
272 |
$0.82 |
| 1036F |
|
160 |
136 |
$0.56 |
| 3074F |
|
280 |
224 |
$0.11 |