| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
250 |
247 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
32 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
79 |
$1K |
| 81003 |
|
15 |
15 |
$30.60 |
| 99051 |
|
110 |
109 |
$12.60 |