| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,566 |
2,211 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,470 |
1,276 |
$36K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
87 |
85 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
73 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
30 |
$244.53 |
| G0008 |
Administration of influenza virus vaccine |
103 |
99 |
$231.92 |
| 90756 |
|
93 |
91 |
$113.95 |
| 99406 |
|
38 |
28 |
$100.00 |
| 90688 |
|
33 |
31 |
$54.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$14.56 |
| 1090F |
|
16 |
16 |
$0.00 |
| 1160F |
|
145 |
120 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 3288F |
|
13 |
12 |
$0.00 |
| 3044F |
|
16 |
15 |
$0.00 |