| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,953 |
2,772 |
$192K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
886 |
853 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,098 |
554 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
265 |
$13K |
| 99199 |
Unlisted special service, procedure or report |
1,061 |
1,061 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
148 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$952.91 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$605.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
37 |
$550.33 |
| 81003 |
|
27 |
25 |
$60.94 |
| 1036F |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
41 |
39 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
31 |
27 |
$0.00 |