| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,550 |
3,646 |
$337K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
978 |
889 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
461 |
426 |
$31K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
558 |
469 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
344 |
326 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
89 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
71 |
$751.79 |
| 90686 |
|
79 |
70 |
$366.98 |
| 81000 |
|
127 |
117 |
$0.00 |