| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,574 |
1,529 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
118 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
280 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
74 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
39 |
$1K |
| 81003 |
|
20 |
13 |
$31.87 |