| Code | Description | Claims | Beneficiaries | Total Paid |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
79 |
76 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
79 |
76 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
39 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
19 |
12 |
$976.40 |
| 0502F |
|
13 |
12 |
$573.30 |
| 81025 |
|
161 |
143 |
$444.28 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
47 |
$0.00 |