| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
922 |
841 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
368 |
357 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
565 |
528 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
97 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
414 |
196 |
$5K |
| 81003 |
|
79 |
75 |
$189.80 |
| 94760 |
|
75 |
68 |
$0.00 |