| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,306 |
2,664 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,056 |
844 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260 |
250 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
55 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
225 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
421 |
226 |
$776.09 |
| 81003 |
|
130 |
114 |
$565.72 |
| 99051 |
|
15 |
14 |
$82.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
28 |
$77.49 |