| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,673 |
1,581 |
$66K |
| 87428 |
|
323 |
304 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
896 |
821 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
138 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
14 |
$946.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$379.80 |
| 81002 |
|
70 |
60 |
$171.83 |