| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
999 |
651 |
$118K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
985 |
639 |
$104K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
624 |
608 |
$32K |
| 86780 |
|
540 |
527 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
327 |
$16K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
373 |
321 |
$15K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
190 |
172 |
$13K |
| 86803 |
|
311 |
306 |
$13K |
| 86708 |
|
296 |
291 |
$11K |
| 86704 |
|
296 |
291 |
$11K |
| 86706 |
|
299 |
293 |
$10K |
| 87340 |
|
299 |
293 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
151 |
150 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$964.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$760.00 |