| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,061 |
2,049 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,056 |
1,288 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
99 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
648 |
266 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
672 |
519 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
343 |
241 |
$6K |
| 80305 |
|
653 |
414 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
16 |
$776.65 |
| 36415 |
Collection of venous blood by venipuncture |
247 |
125 |
$189.72 |
| 90688 |
|
46 |
28 |
$187.49 |
| 92551 |
|
138 |
25 |
$154.60 |
| 81003 |
|
159 |
90 |
$133.13 |
| 99173 |
|
51 |
27 |
$119.65 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
15 |
14 |
$19.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$4.58 |