| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
508 |
338 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
107 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
60 |
$901.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
13 |
$667.58 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
15 |
$654.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
59 |
$552.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
13 |
$236.40 |
| 81002 |
|
14 |
12 |
$27.47 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
15 |
$23.45 |
| 99000 |
|
92 |
50 |
$0.00 |