| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,364 |
2,038 |
$196K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,608 |
2,259 |
$169K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
276 |
240 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122 |
117 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$157.00 |