| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,730 |
2,608 |
$96K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
336 |
292 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
443 |
412 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
98 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$330.70 |
| 81002 |
|
15 |
15 |
$36.40 |