| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,527 |
3,344 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
864 |
852 |
$42K |
| 99051 |
|
626 |
613 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
126 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
305 |
301 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
32 |
$689.20 |
| 3074F |
|
869 |
841 |
$0.00 |
| 3008F |
|
995 |
959 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
74 |
72 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 3078F |
|
702 |
679 |
$0.00 |
| 1159F |
|
39 |
38 |
$0.00 |
| 1160F |
|
39 |
38 |
$0.00 |