| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,005 |
864 |
$55K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,005 |
864 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
856 |
770 |
$38K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
482 |
388 |
$25K |
| 87522 |
Neg quan hep c or qual rna |
308 |
280 |
$23K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
479 |
390 |
$19K |
| 87660 |
|
166 |
150 |
$19K |
| 80061 |
Lipid panel |
454 |
362 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
446 |
357 |
$15K |
| 80053 |
Comprehensive metabolic panel |
500 |
410 |
$11K |
| 84480 |
|
316 |
283 |
$11K |
| 86803 |
|
322 |
292 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
423 |
339 |
$9K |
| 84439 |
|
325 |
295 |
$8K |
| 85027 |
|
357 |
323 |
$7K |
| 86592 |
|
469 |
383 |
$6K |
| 87480 |
|
166 |
150 |
$5K |
| 86376 |
|
144 |
136 |
$5K |
| 86800 |
|
125 |
120 |
$4K |
| 87510 |
|
132 |
117 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
360 |
329 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
38 |
29 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
65 |
$706.54 |
| 81001 |
|
68 |
66 |
$601.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$600.96 |
| 99173 |
|
57 |
55 |
$117.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
12 |
$112.53 |
| 90686 |
|
24 |
12 |
$12.00 |