| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
522 |
502 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
81 |
$13K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
232 |
232 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
232 |
232 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
106 |
105 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
26 |
26 |
$2K |
| 87481 |
|
26 |
26 |
$912.34 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
26 |
26 |
$912.34 |
| 81025 |
|
99 |
99 |
$789.65 |
| 86780 |
|
30 |
30 |
$397.20 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$288.96 |
| 96127 |
|
40 |
40 |
$244.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
16 |
$124.32 |
| 87340 |
|
12 |
12 |
$123.96 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
42 |
$48.00 |