| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,210 |
2,111 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
575 |
567 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
889 |
878 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
80 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
227 |
$3K |
| 81002 |
|
27 |
27 |
$71.66 |