| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,147 |
3,179 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,574 |
1,368 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
202 |
130 |
$4K |
| 99490 |
Ccm add 20min |
589 |
541 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
111 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
53 |
$1K |
| 90756 |
|
70 |
70 |
$356.20 |
| 81000 |
|
618 |
528 |
$295.43 |
| 82044 |
|
12 |
12 |
$27.42 |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$11.25 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
35 |
15 |
$0.00 |