| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,077 |
1,864 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
700 |
575 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
597 |
265 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
652 |
607 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
15 |
$831.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
37 |
$436.74 |
| 81002 |
|
16 |
14 |
$27.10 |