| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
109 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
82 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
275 |
211 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
62 |
50 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
32 |
$0.00 |