| Code | Description | Claims | Bene. Records | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,701 |
1,673 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,625 |
1,539 |
$95K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
538 |
525 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
167 |
$14K |
| 99000 |
|
97 |
93 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
102 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
30 |
$668.20 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
46 |
$422.47 |
| 87276 |
|
18 |
15 |
$229.04 |
| 87275 |
|
18 |
15 |
$174.58 |
| 99173 |
|
12 |
12 |
$25.80 |
| 81003 |
|
12 |
12 |
$23.92 |