| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
123 |
115 |
$7K |
| 17110 |
|
120 |
106 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163 |
155 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
74 |
67 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
106 |
103 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
57 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
52 |
50 |
$3K |
| 11900 |
|
12 |
12 |
$364.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$345.64 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$40.02 |