| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,399 |
1,355 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
122 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
311 |
203 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
419 |
416 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
47 |
$4K |
| 87081 |
|
124 |
124 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
33 |
$1K |