| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,926 |
2,851 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,678 |
2,355 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
109 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
583 |
256 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
81 |
29 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
305 |
57 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$512.14 |
| 99000 |
|
15 |
13 |
$13.33 |
| 81003 |
|
42 |
25 |
$6.75 |