| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
499 |
463 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
608 |
559 |
$19K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
214 |
210 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
50 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
37 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$575.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$235.50 |
| 81025 |
|
67 |
42 |
$191.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$160.48 |
| 81003 |
|
39 |
25 |
$71.94 |