| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
862 |
689 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
300 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
575 |
479 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
575 |
478 |
$22K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
412 |
349 |
$22K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
500 |
407 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
97 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
140 |
112 |
$11K |
| 86780 |
|
413 |
349 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
127 |
119 |
$5K |
| 86803 |
|
264 |
216 |
$4K |
| 0500F |
|
37 |
37 |
$4K |
| 96127 |
|
246 |
189 |
$4K |
| 87340 |
|
255 |
214 |
$3K |
| 0502F |
|
18 |
17 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
327 |
270 |
$2K |
| 99459 |
|
126 |
117 |
$2K |
| 81025 |
|
286 |
250 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
33 |
27 |
$2K |
| 87511 |
|
30 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$854.47 |
| 86762 |
|
49 |
42 |
$443.03 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$372.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
46 |
$295.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
12 |
$213.46 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$183.32 |
| 82950 |
|
13 |
13 |
$57.73 |