| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
92 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163 |
154 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
145 |
142 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
100 |
100 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
100 |
100 |
$3K |
| 86780 |
|
56 |
56 |
$728.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
86 |
85 |
$640.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
27 |
$217.89 |
| 36415 |
Collection of venous blood by venipuncture |
181 |
170 |
$166.45 |
| 81025 |
|
12 |
12 |
$94.71 |