| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,217 |
5,459 |
$443K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,570 |
4,472 |
$227K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,040 |
978 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
131 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
51 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 93042 |
|
67 |
64 |
$234.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$230.74 |
| G8432 |
Depression screening not documented, reason not given |
30 |
28 |
$0.00 |
| 99053 |
|
276 |
263 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
56 |
55 |
$0.00 |