| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
51 |
29 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122 |
86 |
$5K |
| 59425 |
|
21 |
17 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
111 |
92 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
112 |
92 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
688 |
539 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
198 |
170 |
$908.53 |