| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
101 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
70 |
70 |
$743.91 |
| 81002 |
|
195 |
165 |
$629.61 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
12 |
$455.39 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
14 |
12 |
$372.90 |
| 82950 |
|
12 |
12 |
$69.66 |