| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,961 |
3,453 |
$478K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,664 |
3,267 |
$353K |
| 99215 |
Prolong outpt/office vis |
464 |
407 |
$79K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
180 |
177 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$464.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$395.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$180.84 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
103 |
$159.00 |