| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,637 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
867 |
825 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
187 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
490 |
237 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
205 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 81003 |
|
24 |
24 |
$28.00 |