| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,562 |
3,219 |
$249K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,194 |
1,126 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,446 |
1,399 |
$117K |
| 99050 |
|
2,595 |
2,323 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
180 |
168 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
356 |
171 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
218 |
211 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
31 |
$353.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
19 |
$78.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
16 |
$18.90 |
| 99072 |
|
141 |
132 |
$0.00 |