| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
496 |
491 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242 |
239 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
66 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
154 |
98 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
118 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
23 |
$803.70 |
| 87081 |
|
45 |
45 |
$470.34 |