| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
66 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
30 |
$434.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$335.36 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
28 |
$257.88 |
| 80061 |
Lipid panel |
12 |
12 |
$190.56 |
| 87081 |
|
15 |
13 |
$118.05 |