| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
141 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
188 |
81 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
32 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
66 |
$668.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
15 |
$348.30 |