| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
88 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
33 |
18 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
33 |
18 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
28 |
14 |
$804.16 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
26 |
15 |
$626.08 |
| 86803 |
|
23 |
12 |
$328.21 |
| 86780 |
|
24 |
15 |
$317.76 |
| 81025 |
|
18 |
18 |
$104.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
12 |
$103.32 |