| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
717 |
709 |
$59K |
| 99215 |
Prolong outpt/office vis |
344 |
340 |
$49K |
| 99051 |
|
812 |
805 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
247 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
140 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
114 |
114 |
$1K |
| 81002 |
|
126 |
126 |
$702.28 |
| 87428 |
|
14 |
14 |
$333.62 |