| Code | Description | Claims | Beneficiaries | Total Paid |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,102 |
1,894 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,214 |
1,136 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
620 |
548 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
34 |
$3K |
| 90674 |
|
95 |
44 |
$463.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
16 |
$173.51 |
| G0008 |
Administration of influenza virus vaccine |
18 |
16 |
$0.00 |