| Code | Description | Claims | Beneficiaries | Total Paid |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
14 |
13 |
$2K |
| 87652 |
|
14 |
13 |
$449.41 |
| 87512 |
|
14 |
13 |
$449.41 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
13 |
$348.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$348.60 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
14 |
13 |
$0.00 |
| 87640 |
|
14 |
13 |
$0.00 |
| 87500 |
|
14 |
13 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
13 |
$0.00 |
| 87799 |
|
14 |
13 |
$0.00 |
| 87641 |
|
14 |
13 |
$0.00 |
| 87481 |
|
14 |
13 |
$0.00 |
| 87653 |
|
14 |
13 |
$0.00 |