| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
398 |
391 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
328 |
323 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
389 |
381 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
176 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
176 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
57 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
14 |
$1K |