| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,484 |
1,244 |
$68K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,399 |
1,228 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
323 |
$32K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
321 |
211 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
399 |
323 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
138 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
310 |
291 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
377 |
321 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
302 |
250 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
59 |
$3K |
| 87807 |
|
33 |
33 |
$331.98 |
| 81002 |
|
106 |
93 |
$275.08 |
| 81025 |
|
44 |
39 |
$237.46 |