| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,221 |
2,864 |
$255K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,372 |
1,216 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
94 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
371 |
315 |
$931.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
152 |
$529.63 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
17 |
$0.00 |