| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,326 |
3,159 |
$247K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,485 |
4,347 |
$212K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
714 |
690 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
159 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$934.30 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$423.30 |
| 99053 |
|
545 |
524 |
$0.00 |