| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
352 |
302 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
69 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
214 |
84 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$498.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
43 |
$426.88 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
19 |
19 |
$284.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$125.16 |