| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,848 |
3,702 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,576 |
1,556 |
$69K |
| 99051 |
|
728 |
707 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
489 |
483 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
46 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
22 |
$449.65 |
| 81002 |
|
16 |
13 |
$47.50 |
| 3078F |
|
611 |
608 |
$0.00 |
| 99080 |
|
623 |
598 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
320 |
320 |
$0.00 |
| 3079F |
|
509 |
504 |
$0.00 |
| 3008F |
|
1,433 |
1,410 |
$0.00 |
| 3074F |
|
1,059 |
1,050 |
$0.00 |
| 3075F |
|
40 |
40 |
$0.00 |