| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
883 |
854 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
589 |
586 |
$48K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
945 |
942 |
$26K |
| 84703 |
|
1,105 |
1,084 |
$8K |
| 87070 |
|
941 |
938 |
$7K |
| 86703 |
|
247 |
246 |
$3K |
| 99384 |
|
22 |
22 |
$2K |
| ATP03 |
|
206 |
206 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
140 |
138 |
$971.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$843.84 |
| 86803 |
|
59 |
59 |
$719.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
35 |
$551.88 |
| 86592 |
|
66 |
66 |
$248.96 |
| 80061 |
Lipid panel |
257 |
257 |
$0.00 |