| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
71 |
70 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
31 |
29 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
46 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
20 |
19 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
20 |
19 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
42 |
$990.27 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$646.15 |
| 81025 |
|
17 |
14 |
$93.22 |