| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
314 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
353 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
85 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
64 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
32 |
$851.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
49 |
$847.80 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
19 |
$91.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$78.48 |