| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,080 |
1,025 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
612 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
491 |
300 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
523 |
504 |
$7K |
| 87081 |
|
395 |
378 |
$3K |
| 81001 |
|
53 |
50 |
$176.54 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$29.84 |