| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,146 |
1,047 |
$59K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
469 |
394 |
$30K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
537 |
444 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
141 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
55 |
50 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
314 |
292 |
$5K |
| 87428 |
|
19 |
19 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$16.31 |