| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,571 |
5,360 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
945 |
935 |
$72K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
542 |
541 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
553 |
553 |
$35K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
221 |
221 |
$29K |
| 99051 |
|
1,233 |
1,212 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
389 |
388 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,109 |
1,092 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 81003 |
|
521 |
509 |
$1K |
| 81025 |
|
129 |
128 |
$868.53 |
| 99442 |
|
13 |
12 |
$274.95 |
| 81002 |
|
12 |
12 |
$31.78 |