| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
32 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
66 |
54 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
66 |
54 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
197 |
160 |
$346.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32 |
24 |
$178.32 |
| 81001 |
|
16 |
15 |
$45.30 |
| 99000 |
|
14 |
14 |
$0.00 |