| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
241 |
153 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
186 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
154 |
$17K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
117 |
88 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
101 |
86 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
99 |
85 |
$4K |
| 86780 |
|
117 |
88 |
$2K |
| 86803 |
|
56 |
44 |
$936.04 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
18 |
17 |
$758.16 |
| 87340 |
|
56 |
44 |
$749.30 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
21 |
16 |
$535.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
32 |
$227.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
13 |
$117.84 |
| 81025 |
|
12 |
12 |
$72.36 |