| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
872 |
804 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,112 |
1,066 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
165 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
420 |
413 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
221 |
220 |
$3K |