| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,971 |
1,781 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
421 |
357 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
181 |
161 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
82 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
35 |
$2K |
| 87807 |
|
21 |
13 |
$216.26 |
| 81002 |
|
72 |
58 |
$189.54 |