| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
27,385 |
27,225 |
$3.14M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28,556 |
28,410 |
$2.27M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
25,418 |
25,251 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
789 |
781 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
262 |
260 |
$28K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
522 |
522 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
142 |
$12K |
| 93308 |
|
332 |
329 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
30 |
30 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
141 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
129 |
129 |
$2K |
| 99051 |
|
493 |
492 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
20 |
$872.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$436.67 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$319.40 |
| 90686 |
|
12 |
12 |
$258.32 |
| 81025 |
|
20 |
20 |
$120.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$60.00 |
| 81003 |
|
33 |
33 |
$52.14 |
| 99199 |
Unlisted special service, procedure or report |
438 |
429 |
$0.00 |