| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,973 |
1,907 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
182 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
229 |
85 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
162 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
34 |
$1K |
| 81003 |
|
39 |
27 |
$67.20 |