| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
337 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
255 |
248 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
322 |
313 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
181 |
177 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
78 |
$796.66 |
| 81003 |
|
47 |
47 |
$49.21 |