| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,447 |
9,139 |
$378K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,586 |
1,373 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
599 |
548 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
693 |
535 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
131 |
120 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
251 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
244 |
222 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
315 |
139 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
134 |
125 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
31 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$809.52 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
25 |
$398.40 |
| 99201 |
|
13 |
12 |
$239.04 |
| 81003 |
|
51 |
51 |
$69.68 |
| 90686 |
|
14 |
13 |
$0.00 |