| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,502 |
1,963 |
$91K |
| 0240U |
|
204 |
181 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
373 |
343 |
$18K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
58 |
54 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
413 |
373 |
$481.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
12 |
$245.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$187.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$124.30 |