| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
332 |
293 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
141 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
180 |
174 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
103 |
$1K |
| 81003 |
|
73 |
69 |
$185.38 |
| 92551 |
|
18 |
17 |
$180.90 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$42.06 |