| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,697 |
1,295 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
659 |
522 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
83 |
$3K |
| 86318 |
|
183 |
114 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
76 |
$791.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
24 |
$331.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
16 |
$180.57 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
20 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$0.00 |