| Code | Description | Claims | Beneficiaries | Total Paid |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
51 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
52 |
51 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
50 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
47 |
46 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$1K |
| 87480 |
|
34 |
34 |
$799.68 |
| 86780 |
|
47 |
46 |
$784.90 |
| 87660 |
|
33 |
33 |
$764.46 |
| 87510 |
|
33 |
33 |
$546.84 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$505.56 |
| 81025 |
|
24 |
24 |
$284.16 |
| 3074F |
|
125 |
125 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
115 |
115 |
$0.00 |
| 1159F |
|
45 |
45 |
$0.00 |
| 3078F |
|
37 |
37 |
$0.00 |
| 1160F |
|
45 |
45 |
$0.00 |