| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260 |
252 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
62 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
29 |
$2K |
| 99051 |
|
124 |
121 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
59 |
$811.80 |
| 81003 |
|
14 |
14 |
$28.56 |