| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,238 |
1,986 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,810 |
1,697 |
$88K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
13 |
$934.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
44 |
$693.17 |
| 90686 |
|
16 |
12 |
$311.15 |
| 81002 |
|
17 |
16 |
$44.20 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$3.66 |