| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
418 |
358 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
497 |
429 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
298 |
271 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
122 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
50 |
41 |
$3K |
| 87428 |
|
48 |
48 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
187 |
187 |
$3K |