| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,834 |
1,426 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,148 |
971 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
859 |
754 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,258 |
391 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,215 |
922 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
352 |
242 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
27 |
$2K |
| 81002 |
|
108 |
91 |
$278.13 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
112 |
66 |
$224.59 |
| 90686 |
|
12 |
12 |
$218.45 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
12 |
12 |
$38.26 |
| 81003 |
|
17 |
15 |
$37.06 |