| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,038 |
2,084 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
101 |
92 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
325 |
236 |
$755.44 |
| 87536 |
|
1,002 |
687 |
$243.42 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
810 |
601 |
$234.22 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
809 |
601 |
$234.22 |
| 99201 |
|
348 |
216 |
$208.50 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,208 |
898 |
$137.76 |
| 86593 |
|
2,663 |
1,922 |
$46.09 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,116 |
796 |
$14.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
29 |
$12.00 |
| 87590 |
|
205 |
172 |
$0.00 |
| 87490 |
|
203 |
170 |
$0.00 |
| 86780 |
|
23 |
12 |
$0.00 |
| 81000 |
|
27 |
26 |
$0.00 |
| 86803 |
|
29 |
17 |
$0.00 |
| 90658 |
|
34 |
15 |
$0.00 |