| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
496 |
486 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
260 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
76 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
31 |
$896.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
15 |
$377.74 |
| 81003 |
|
13 |
13 |
$29.00 |