| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
840 |
506 |
$38K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
402 |
358 |
$29K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
400 |
357 |
$28K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
142 |
107 |
$5K |
| 87806 |
|
70 |
68 |
$5K |
| 86900 |
|
59 |
54 |
$5K |
| 86850 |
|
59 |
54 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
86 |
61 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
43 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
44 |
42 |
$3K |
| 86901 |
|
59 |
54 |
$3K |
| 86592 |
|
82 |
80 |
$2K |
| 87340 |
|
48 |
45 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
13 |
$2K |
| 86803 |
|
33 |
32 |
$2K |
| 88142 |
|
28 |
26 |
$1K |
| 85027 |
|
44 |
42 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
12 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15 |
12 |
$905.70 |
| 81001 |
|
26 |
26 |
$684.69 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$453.54 |
| 81025 |
|
83 |
62 |
$427.91 |
| 86762 |
|
14 |
13 |
$416.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$113.10 |