| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
134 |
127 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
134 |
127 |
$15K |
| 87480 |
|
79 |
76 |
$5K |
| 87660 |
|
67 |
64 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
25 |
$925.27 |
| 87510 |
|
21 |
21 |
$890.33 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$708.97 |
| 3078F |
|
12 |
12 |
$0.12 |