| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
337 |
248 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
123 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$537.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
75 |
$0.00 |
| 81003 |
|
46 |
30 |
$0.00 |