| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
264 |
260 |
$30K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
342 |
336 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
199 |
$10K |
| 99386 |
|
38 |
38 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$901.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$893.89 |
| 86803 |
|
12 |
12 |
$836.68 |
| 87340 |
|
12 |
12 |
$519.28 |
| 86780 |
|
12 |
12 |
$500.78 |