| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
420 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
274 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
114 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
47 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
150 |
147 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
113 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
18 |
$835.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
34 |
$771.39 |