| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
231 |
204 |
$19K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
64 |
40 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$773.23 |
| 86140 |
|
40 |
25 |
$479.60 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
28 |
$152.10 |
| 85651 |
|
15 |
12 |
$123.39 |