| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,230 |
1,159 |
$86K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
216 |
195 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
386 |
303 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
122 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
127 |
$12K |
| 99201 |
|
264 |
118 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
43 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
28 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
27 |
$853.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
70 |
$721.39 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
12 |
$608.92 |