| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,427 |
4,710 |
$145K |
| 99442 |
|
105 |
97 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
932 |
806 |
$3K |
| 87536 |
|
96 |
91 |
$3K |
| 87590 |
|
218 |
175 |
$3K |
| 87490 |
|
217 |
175 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
100 |
$1K |
| 86593 |
|
1,247 |
1,096 |
$857.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$854.68 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
732 |
646 |
$834.56 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
729 |
644 |
$834.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
77 |
$565.65 |
| 86780 |
|
395 |
367 |
$349.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
97 |
92 |
$281.50 |
| 81000 |
|
96 |
69 |
$242.04 |
| 99201 |
|
12 |
12 |
$175.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
14 |
$172.55 |