| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
594 |
539 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
132 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
110 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
52 |
$704.98 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
52 |
$146.28 |