| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
637 |
545 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
53 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
32 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
54 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
73 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$131.76 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$36.90 |
| 81003 |
|
12 |
12 |
$26.16 |