| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,925 |
2,740 |
$175K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
429 |
414 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
292 |
279 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
350 |
339 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
480 |
235 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
309 |
297 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
15 |
$453.74 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
40 |
$182.10 |
| 81003 |
|
206 |
200 |
$51.59 |