| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,151 |
1,001 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
34 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
24 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
29 |
29 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
79 |
$853.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
74 |
$766.14 |
| 93000 |
|
33 |
32 |
$565.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$371.83 |