| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,256 |
1,210 |
$47K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
78 |
75 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27 |
26 |
$583.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
29 |
$479.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$371.22 |