| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
39 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
62 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
57 |
56 |
$2K |
| 87800 |
|
12 |
12 |
$524.04 |
| 81002 |
|
122 |
78 |
$400.20 |
| 88142 |
|
15 |
15 |
$303.90 |
| S0612 |
Annual gynecological examination, established patient |
13 |
13 |
$37.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$0.00 |
| 99000 |
|
169 |
155 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |