| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,307 |
1,112 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
120 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
85 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
40 |
$973.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
42 |
$578.90 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
28 |
$116.29 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
66 |
42 |
$11.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$9.31 |