| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
936 |
914 |
$106K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
707 |
689 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
326 |
326 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
262 |
259 |
$42K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
820 |
818 |
$29K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
820 |
818 |
$29K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
708 |
690 |
$25K |
| 87481 |
|
707 |
689 |
$25K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
449 |
449 |
$22K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
299 |
298 |
$7K |
| 86780 |
|
407 |
406 |
$5K |
| 86803 |
|
269 |
268 |
$4K |
| 87340 |
|
302 |
301 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
273 |
269 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
256 |
255 |
$2K |
| 81025 |
|
199 |
199 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
38 |
$630.43 |
| 36415 |
Collection of venous blood by venipuncture |
472 |
446 |
$586.70 |
| 84702 |
|
17 |
12 |
$255.85 |
| 3074F |
|
35 |
35 |
$0.00 |
| 3078F |
|
29 |
29 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |