| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
470 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
355 |
344 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
149 |
149 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
360 |
358 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
360 |
358 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
121 |
121 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
69 |
68 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
69 |
68 |
$2K |
| 87481 |
|
69 |
68 |
$2K |
| 81025 |
|
66 |
64 |
$500.16 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$315.45 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
39 |
$291.75 |
| 86762 |
|
13 |
13 |
$188.51 |
| 86803 |
|
13 |
13 |
$186.94 |
| 36415 |
Collection of venous blood by venipuncture |
192 |
180 |
$186.00 |
| 86780 |
|
13 |
13 |
$173.44 |
| 86787 |
|
13 |
13 |
$168.73 |
| 87340 |
|
13 |
13 |
$135.32 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$88.77 |