| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
688 |
597 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
979 |
819 |
$39K |
| 0011A |
|
185 |
185 |
$8K |
| 0012A |
|
169 |
169 |
$7K |
| 0002A |
|
119 |
118 |
$5K |
| 0001A |
|
108 |
108 |
$5K |
| 0064A |
|
96 |
95 |
$4K |
| 0072A |
|
56 |
52 |
$2K |
| 90686 |
|
109 |
67 |
$2K |
| 0071A |
|
44 |
43 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15 |
13 |
$840.91 |
| 0134A |
|
19 |
15 |
$695.00 |
| 0031A |
|
15 |
15 |
$632.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
22 |
$592.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
21 |
$347.94 |