| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
901 |
872 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
359 |
$62K |
| 99051 |
|
532 |
518 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
136 |
136 |
$3K |
| 81025 |
|
220 |
214 |
$3K |
| 87480 |
|
39 |
37 |
$2K |
| 87510 |
|
39 |
37 |
$2K |
| 87660 |
|
27 |
25 |
$918.16 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
15 |
$829.98 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
15 |
$829.98 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
18 |
18 |
$386.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$246.31 |
| 81002 |
|
37 |
37 |
$12.16 |