| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
688 |
434 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
81 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$2K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
174 |
151 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
64 |
$1K |
| 86703 |
|
311 |
241 |
$1K |
| 81025 |
|
134 |
64 |
$292.90 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
23 |
14 |
$282.78 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
23 |
14 |
$276.39 |
| 87210 |
|
90 |
60 |
$237.30 |
| 36415 |
Collection of venous blood by venipuncture |
681 |
406 |
$146.20 |
| 36416 |
|
667 |
373 |
$105.04 |
| 99000 |
|
693 |
405 |
$0.00 |