| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,260 |
1,062 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
852 |
755 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
258 |
221 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
510 |
468 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
32 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
127 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$726.00 |
| 80305 |
|
12 |
12 |
$111.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$67.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$65.41 |
| 96127 |
|
14 |
13 |
$49.26 |