| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,605 |
1,334 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
817 |
648 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
72 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
100 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
61 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$405.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$215.30 |