| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,093 |
876 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
512 |
433 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
378 |
$39K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
553 |
472 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
552 |
470 |
$23K |
| 0502F |
|
296 |
220 |
$17K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
309 |
227 |
$9K |
| 87511 |
|
170 |
127 |
$7K |
| 96127 |
|
460 |
395 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
151 |
100 |
$6K |
| 81025 |
|
785 |
638 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
120 |
94 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
110 |
106 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
12 |
$718.35 |
| 0500F |
|
13 |
12 |
$518.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$416.60 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18 |
15 |
$392.02 |
| 81000 |
|
135 |
102 |
$336.26 |
| 99459 |
|
15 |
14 |
$219.30 |
| 86780 |
|
18 |
15 |
$215.54 |
| 86803 |
|
15 |
12 |
$189.51 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
29 |
$189.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
28 |
$170.80 |
| 86762 |
|
15 |
12 |
$151.05 |
| 87340 |
|
15 |
12 |
$137.19 |