| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
698 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
262 |
260 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
36 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
261 |
260 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
95 |
$1K |
| 3074F |
|
839 |
810 |
$0.00 |
| 3008F |
|
457 |
445 |
$0.00 |
| 3079F |
|
207 |
202 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3078F |
|
668 |
646 |
$0.00 |