| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
435 |
349 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
43 |
$568.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
42 |
$556.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
67 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$0.00 |
| 80305 |
|
20 |
16 |
$0.00 |