| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
192 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
263 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
95 |
92 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
28 |
$728.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
49 |
$661.00 |