| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,692 |
3,629 |
$178K |
| 87428 |
|
1,121 |
1,105 |
$63K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
653 |
638 |
$55K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
115 |
93 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
115 |
93 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
884 |
867 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
213 |
207 |
$4K |
| 81001 |
|
30 |
30 |
$655.35 |
| 81002 |
|
203 |
201 |
$422.32 |
| 87070 |
|
13 |
13 |
$267.69 |
| 81025 |
|
13 |
13 |
$58.23 |