| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
547 |
519 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
362 |
346 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
325 |
158 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
259 |
251 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |