| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,240 |
3,125 |
$103K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
666 |
631 |
$52K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
150 |
146 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
269 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
377 |
370 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
526 |
507 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
77 |
70 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
66 |
$3K |
| 87807 |
|
78 |
76 |
$775.77 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$596.53 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$578.70 |
| 81002 |
|
75 |
72 |
$189.80 |