| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
570 |
503 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
252 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
160 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
80 |
$3K |
| 87428 |
|
72 |
60 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
72 |
$727.32 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
35 |
$279.20 |