| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
945 |
828 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
775 |
731 |
$24K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
647 |
557 |
$21K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
50 |
40 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
74 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
148 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
39 |
$1K |
| 87081 |
|
126 |
121 |
$831.61 |
| 81001 |
|
31 |
31 |
$119.08 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$30.16 |