| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
385 |
382 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
372 |
370 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
50 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
161 |
152 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
74 |
74 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
70 |
$1K |
| 81025 |
|
77 |
77 |
$850.80 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
26 |
26 |
$780.78 |
| 86780 |
|
26 |
26 |
$434.20 |
| 87480 |
|
13 |
13 |
$324.87 |
| 87660 |
|
13 |
13 |
$320.58 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
36 |
36 |
$273.24 |
| 86803 |
|
12 |
12 |
$250.80 |
| 87510 |
|
13 |
13 |
$229.32 |