| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,765 |
2,683 |
$238K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
657 |
657 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
890 |
879 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170 |
169 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
335 |
334 |
$9K |
| 99051 |
|
677 |
674 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
17 |
$295.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
16 |
$105.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
17 |
$6.93 |