| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
943 |
929 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
943 |
930 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320 |
317 |
$22K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
361 |
356 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
458 |
457 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
226 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
392 |
369 |
$6K |
| 81025 |
|
406 |
395 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
147 |
146 |
$4K |
| 86780 |
|
150 |
149 |
$2K |
| 87480 |
|
101 |
100 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 87660 |
|
77 |
76 |
$1K |
| 86803 |
|
44 |
43 |
$919.60 |
| 87510 |
|
76 |
75 |
$829.08 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
36 |
36 |
$258.06 |