| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
229 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
80 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31 |
31 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31 |
31 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
97 |
$1K |