| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
702 |
655 |
$29K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
381 |
378 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
480 |
440 |
$22K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
562 |
520 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
72 |
66 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
21 |
$654.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$266.90 |