| Code | Description | Claims | Beneficiaries | Total Paid |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
506 |
474 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
597 |
536 |
$19K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
504 |
472 |
$19K |
| 87480 |
|
176 |
167 |
$4K |
| 87510 |
|
176 |
167 |
$4K |
| 87660 |
|
176 |
167 |
$4K |
| 76801 |
|
28 |
26 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
604 |
541 |
$2K |
| 90674 |
|
34 |
33 |
$594.27 |
| 90756 |
|
23 |
18 |
$319.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
66 |
$282.03 |
| 36416 |
|
149 |
138 |
$228.56 |
| 85018 |
|
43 |
40 |
$87.61 |