| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,606 |
3,236 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
493 |
422 |
$45K |
| 81000 |
|
4,710 |
2,379 |
$17K |
| 99215 |
Prolong outpt/office vis |
64 |
64 |
$7K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
600 |
557 |
$6K |
| 81025 |
|
485 |
451 |
$3K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
40 |
40 |
$887.40 |
| 96160 |
|
59 |
53 |
$796.41 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
21 |
16 |
$30.41 |