| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
370 |
349 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
96 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
38 |
$927.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
31 |
$806.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
33 |
32 |
$35.74 |