| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
843 |
667 |
$111K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
549 |
540 |
$98K |
| 87428 |
|
571 |
202 |
$38K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
312 |
290 |
$24K |
| 87634 |
|
120 |
116 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
107 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
48 |
47 |
$443.98 |