| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
686 |
620 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
259 |
$18K |
| 99000 |
|
745 |
708 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
220 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
399 |
385 |
$5K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,172 |
1,047 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
25 |
$692.46 |