| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
117 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
83 |
$7K |
| 99215 |
Prolong outpt/office vis |
58 |
56 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
38 |
20 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
59 |
$779.40 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$222.17 |