| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,947 |
20,466 |
$815K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,245 |
3,716 |
$202K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
344 |
303 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
507 |
450 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
157 |
$2K |
| 94760 |
|
641 |
470 |
$660.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
35 |
$448.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$296.82 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
27 |
$293.99 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$105.40 |