| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
364 |
332 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
76 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$332.05 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
38 |
37 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
52 |
47 |
$0.00 |