| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
916 |
854 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
652 |
619 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
287 |
275 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
257 |
237 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
577 |
529 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
16 |
$348.32 |
| 96127 |
|
15 |
15 |
$219.00 |