| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
514 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267 |
250 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
77 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
304 |
151 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
44 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
187 |
185 |
$3K |
| 87807 |
|
169 |
156 |
$2K |
| 92551 |
|
75 |
72 |
$770.50 |
| 81003 |
|
241 |
218 |
$643.89 |
| 85018 |
|
151 |
149 |
$426.10 |
| 90648 |
|
28 |
27 |
$317.47 |
| 90670 |
|
14 |
14 |
$242.20 |
| 90723 |
|
12 |
12 |
$220.20 |
| 90633 |
|
13 |
13 |
$171.13 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
39 |
$129.15 |
| 85027 |
|
13 |
12 |
$94.20 |
| 99173 |
|
32 |
31 |
$75.11 |