| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,046 |
1,004 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
396 |
392 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
947 |
925 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
323 |
320 |
$12K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
166 |
162 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
692 |
685 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
216 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$3K |
| 87807 |
|
153 |
150 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
14 |
$1K |
| 81001 |
|
51 |
51 |
$142.07 |