| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
77 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
48 |
47 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
64 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49 |
45 |
$2K |
| 90686 |
|
22 |
20 |
$0.00 |