| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
459 |
361 |
$84K |
| 81025 |
|
81 |
76 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
248 |
237 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
465 |
$18K |
| 81003 |
|
430 |
314 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
80 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
218 |
$4K |
| 87210 |
|
41 |
36 |
$3K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
147 |
139 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
157 |
141 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
125 |
$2K |
| 82570 |
|
40 |
30 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
57 |
54 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$904.71 |
| 87081 |
|
33 |
29 |
$644.25 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
194 |
187 |
$604.90 |
| 87077 |
|
18 |
16 |
$399.84 |
| 87340 |
|
140 |
132 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
44 |
37 |
$0.00 |
| 86850 |
|
133 |
123 |
$0.00 |
| 86803 |
|
143 |
135 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
125 |
117 |
$0.00 |
| 82950 |
|
65 |
62 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
131 |
122 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
71 |
60 |
$0.00 |
| 86592 |
|
159 |
147 |
$0.00 |
| 86901 |
|
129 |
119 |
$0.00 |
| 86762 |
|
124 |
116 |
$0.00 |
| 85027 |
|
81 |
70 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
188 |
172 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
249 |
238 |
$0.00 |
| 86900 |
|
129 |
119 |
$0.00 |
| 87186 |
|
12 |
12 |
$0.00 |
| 84156 |
|
44 |
31 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
63 |
60 |
$0.00 |
| 86787 |
|
51 |
51 |
$0.00 |
| 83020 |
|
42 |
40 |
$0.00 |