| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,503 |
1,347 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,648 |
1,467 |
$172K |
| 90834 |
Psychotherapy, 45 minutes with patient |
332 |
226 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
131 |
$21K |
| 99173 |
|
54 |
53 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
64 |
40 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
31 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$742.00 |