| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
185 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
86 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
121 |
121 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
121 |
121 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
51 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$804.43 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
41 |
$326.34 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
121 |
$132.00 |
| 81025 |
|
14 |
13 |
$111.93 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$104.91 |