| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,883 |
1,832 |
$57K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
232 |
229 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
123 |
120 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
53 |
$880.47 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$810.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$439.60 |