| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,510 |
8,049 |
$950K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,289 |
2,075 |
$179K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
669 |
566 |
$67K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
250 |
244 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
83 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
75 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
141 |
65 |
$912.10 |
| 81002 |
|
95 |
66 |
$162.55 |
| 36415 |
Collection of venous blood by venipuncture |
1,565 |
1,451 |
$138.44 |
| 81000 |
|
36 |
29 |
$110.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$73.19 |