| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
673 |
412 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
434 |
329 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
175 |
101 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
355 |
177 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
24 |
$153.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
19 |
$145.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
244 |
125 |
$18.59 |