| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
137 |
$5K |
| 99215 |
Prolong outpt/office vis |
52 |
50 |
$2K |
| 51798 |
|
48 |
42 |
$411.40 |
| 87641 |
|
12 |
12 |
$288.09 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
24 |
$256.08 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$160.05 |
| 87653 |
|
12 |
12 |
$160.05 |
| 87481 |
|
12 |
12 |
$160.05 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$160.05 |
| 87529 |
|
12 |
12 |
$160.05 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$160.05 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$160.05 |
| 87640 |
|
12 |
12 |
$160.05 |
| 87496 |
|
12 |
12 |
$160.05 |
| 81000 |
|
42 |
38 |
$35.15 |
| 81002 |
|
12 |
12 |
$6.82 |