| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
602 |
579 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
173 |
$7K |
| 20610 |
|
58 |
45 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
84 |
$1K |
| 87428 |
|
16 |
16 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
26 |
$674.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
27 |
$137.35 |