| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,936 |
1,306 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
642 |
532 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
112 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
48 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
26 |
$499.77 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
53 |
$290.10 |
| 96127 |
|
17 |
16 |
$195.07 |
| 99000 |
|
45 |
42 |
$0.00 |