| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
131 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
136 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
100 |
71 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
28 |
27 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44 |
28 |
$2K |