| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,107 |
1,936 |
$100K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
320 |
307 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
564 |
507 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
92 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
53 |
53 |
$2K |
| 87807 |
|
80 |
79 |
$794.74 |
| 87428 |
|
13 |
13 |
$778.87 |
| 81002 |
|
40 |
36 |
$101.40 |