| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,228 |
1,111 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
575 |
521 |
$53K |
| 90837 |
Psychotherapy, 53 minutes with patient |
69 |
40 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
12 |
$2K |
| 90785 |
|
89 |
40 |
$886.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
59 |
$691.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$121.16 |