| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
257 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
70 |
69 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99051 |
|
86 |
86 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$696.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
35 |
$471.47 |
| 81003 |
|
14 |
14 |
$26.52 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$26.14 |