| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,215 |
2,984 |
$61K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
405 |
338 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
405 |
338 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
292 |
242 |
$3K |
| 87536 |
|
63 |
47 |
$2K |
| 99442 |
|
60 |
60 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
263 |
220 |
$1K |
| 86593 |
|
537 |
443 |
$822.96 |
| 99201 |
|
99 |
98 |
$464.00 |
| 86780 |
|
75 |
63 |
$328.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
54 |
$227.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$222.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
59 |
43 |
$130.94 |
| 87590 |
|
15 |
13 |
$129.00 |
| 87490 |
|
15 |
13 |
$109.20 |