| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
261 |
256 |
$40K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
232 |
227 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
298 |
$20K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
212 |
209 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
223 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
182 |
177 |
$11K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
80 |
78 |
$9K |
| 86803 |
|
72 |
69 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
70 |
69 |
$5K |
| 87340 |
|
71 |
68 |
$3K |
| 86780 |
|
72 |
69 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$352.14 |
| 86850 |
|
13 |
12 |
$271.26 |
| 81001 |
|
13 |
12 |
$164.52 |
| 86900 |
|
13 |
12 |
$141.55 |
| 86901 |
|
13 |
12 |
$130.71 |