| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
178 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
138 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
137 |
137 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
95 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
277 |
263 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
111 |
109 |
$1K |
| 87807 |
|
14 |
14 |
$182.83 |