| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
34 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
45 |
32 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
45 |
32 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
252 |
197 |
$441.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
50 |
41 |
$297.32 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
12 |
$192.60 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
12 |
$92.52 |
| 81001 |
|
19 |
14 |
$39.26 |