| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,287 |
1,090 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
898 |
866 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,178 |
896 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
210 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
155 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
46 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
675 |
668 |
$1K |
| 81002 |
|
130 |
128 |
$43.24 |
| 99000 |
|
13 |
13 |
$3.63 |
| 0012A |
|
12 |
12 |
$0.00 |