| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,103 |
1,839 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
490 |
438 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
593 |
$26K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
866 |
707 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
866 |
707 |
$20K |
| 76801 |
|
67 |
67 |
$3K |
| 87210 |
|
602 |
494 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
113 |
77 |
$1K |
| 81025 |
|
151 |
129 |
$934.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66 |
37 |
$300.38 |
| 99000 |
|
32 |
27 |
$215.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$174.12 |
| 81003 |
|
31 |
25 |
$43.47 |