| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
956 |
947 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
931 |
923 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
293 |
290 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
105 |
$8K |
| 81025 |
|
565 |
549 |
$4K |
| 86703 |
|
179 |
179 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
39 |
38 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
39 |
38 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$1K |
| 88142 |
|
49 |
49 |
$905.03 |
| 86803 |
|
38 |
37 |
$465.83 |
| 87210 |
|
27 |
25 |
$127.32 |