| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
434 |
413 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
141 |
127 |
$18K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
140 |
126 |
$11K |
| 87480 |
|
100 |
98 |
$7K |
| 87660 |
|
86 |
84 |
$4K |
| 87510 |
|
74 |
72 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
61 |
51 |
$3K |
| 86780 |
|
58 |
52 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$870.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$210.24 |
| 3078F |
|
404 |
346 |
$1.47 |
| 1036F |
|
197 |
182 |
$0.33 |
| 4004F |
|
24 |
17 |
$0.18 |
| 3074F |
|
307 |
271 |
$0.10 |
| 3079F |
|
12 |
12 |
$0.04 |