| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,374 |
1,295 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
588 |
578 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,281 |
1,236 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,032 |
1,008 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
280 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
123 |
$8K |
| 87807 |
|
264 |
260 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$455.40 |
| 81001 |
|
79 |
78 |
$223.78 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
28 |
$195.78 |