| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
754 |
$39K |
| 99307 |
|
587 |
253 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
40 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
174 |
114 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
14 |
$949.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
78 |
$520.65 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
30 |
$386.10 |
| 99304 |
|
48 |
48 |
$300.00 |
| 92551 |
|
14 |
14 |
$117.88 |
| 96160 |
|
12 |
12 |
$26.80 |
| 81003 |
|
17 |
17 |
$16.66 |
| 99173 |
|
14 |
14 |
$8.88 |