| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
433 |
385 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
384 |
344 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
384 |
344 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
133 |
126 |
$10K |
| 87480 |
|
435 |
385 |
$7K |
| 87510 |
|
435 |
385 |
$7K |
| 87660 |
|
435 |
385 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
13 |
$632.11 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
81 |
78 |
$550.59 |
| 81025 |
|
87 |
83 |
$459.92 |
| 84702 |
|
28 |
26 |
$349.93 |
| 36415 |
Collection of venous blood by venipuncture |
229 |
218 |
$297.78 |
| 81002 |
|
67 |
62 |
$123.97 |
| 81003 |
|
75 |
65 |
$101.44 |
| 99051 |
|
37 |
32 |
$0.00 |