| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
954 |
834 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
683 |
603 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
375 |
333 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
647 |
576 |
$22K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
231 |
208 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
287 |
250 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
89 |
66 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
81 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
90 |
$2K |