| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,223 |
1,199 |
$19K |
| 86780 |
|
899 |
882 |
$15K |
| 87535 |
|
789 |
782 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
246 |
$12K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
505 |
494 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
493 |
439 |
$7K |
| 86702 |
|
793 |
786 |
$5K |
| 86701 |
|
851 |
838 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
166 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
75 |
$4K |
| 86593 |
|
887 |
875 |
$3K |
| 86592 |
|
808 |
783 |
$2K |
| 0250 |
|
435 |
419 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$302.68 |
| 36415 |
Collection of venous blood by venipuncture |
974 |
957 |
$283.10 |