| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
441 |
431 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
321 |
304 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
110 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
128 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
213 |
$4K |