| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,513 |
9,291 |
$689K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,457 |
2,425 |
$179K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,976 |
1,941 |
$140K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,942 |
1,852 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
821 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
122 |
$9K |
| 87807 |
|
25 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
67 |
$828.01 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$501.26 |
| 81003 |
|
12 |
12 |
$0.00 |