| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,054 |
1,681 |
$133K |
| 0502F |
|
1,070 |
753 |
$65K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
339 |
322 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
180 |
$23K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
369 |
291 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
367 |
291 |
$14K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
436 |
401 |
$12K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
314 |
246 |
$9K |
| 96127 |
|
403 |
348 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
136 |
116 |
$5K |
| 59430 |
|
36 |
24 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
38 |
$4K |
| 81025 |
|
386 |
331 |
$2K |
| 86780 |
|
134 |
115 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
28 |
$2K |
| 96160 |
|
97 |
69 |
$1K |
| 87511 |
|
27 |
25 |
$1K |
| 99459 |
|
74 |
73 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$858.99 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
108 |
97 |
$659.92 |
| 86803 |
|
34 |
31 |
$487.76 |
| 87340 |
|
13 |
12 |
$137.46 |