| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
528 |
492 |
$72K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
129 |
111 |
$20K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
156 |
144 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
423 |
418 |
$19K |
| 87428 |
|
164 |
163 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
95 |
$914.76 |
| 81002 |
|
12 |
12 |
$25.48 |