| Code | Description | Claims | Beneficiaries | Total Paid |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
141 |
119 |
$35K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
136 |
119 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
348 |
335 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
155 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
99 |
$7K |
| 87634 |
|
114 |
99 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
73 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
105 |
$5K |
| 87641 |
|
136 |
119 |
$3K |
| 87640 |
|
141 |
119 |
$3K |
| 87541 |
|
114 |
99 |
$3K |
| 87498 |
|
114 |
99 |
$3K |
| 87581 |
|
115 |
99 |
$3K |
| 87486 |
|
113 |
99 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
65 |
$781.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
61 |
$708.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
40 |
$670.22 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
251 |
220 |
$336.00 |
| 99051 |
|
85 |
77 |
$66.00 |
| 81002 |
|
13 |
12 |
$31.32 |