| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
45 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
72 |
69 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
72 |
69 |
$2K |
| 87510 |
|
72 |
69 |
$1K |
| 87480 |
|
72 |
69 |
$1K |
| 87660 |
|
72 |
69 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$999.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$798.64 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16 |
16 |
$577.93 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
65 |
$104.74 |