| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,792 |
1,736 |
$82K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
392 |
383 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$885.18 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$542.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$359.10 |
| 81002 |
|
25 |
25 |
$65.00 |