| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,286 |
3,048 |
$190K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
993 |
956 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
44 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
441 |
433 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
258 |
123 |
$790.14 |
| 99051 |
|
12 |
12 |
$242.00 |
| 81002 |
|
178 |
175 |
$103.88 |
| 94760 |
|
1,395 |
1,333 |
$33.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
15 |
$0.00 |