| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
623 |
574 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
123 |
117 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
19 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
56 |
$794.52 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
56 |
$158.91 |
| 92551 |
|
13 |
13 |
$136.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$23.10 |