| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
424 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
258 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
62 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
62 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
42 |
$659.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
29 |
$313.92 |
| 87807 |
|
17 |
12 |
$140.84 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
15 |
$84.76 |