| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,656 |
8,598 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,723 |
2,395 |
$403K |
| 99307 |
|
853 |
842 |
$73K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
158 |
149 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$9K |
| 99215 |
Prolong outpt/office vis |
32 |
27 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
33 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
32 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$2K |
| 99339 |
|
16 |
14 |
$633.80 |