| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,051 |
5,600 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,043 |
887 |
$27K |
| 99215 |
Prolong outpt/office vis |
130 |
111 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
14 |
$39.09 |
| 99222 |
Initial hospital care, per day, moderate complexity |
22 |
18 |
$37.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$34.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$30.62 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$25.08 |