| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,524 |
1,435 |
$112K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
346 |
323 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
112 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
125 |
121 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
118 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
106 |
104 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
46 |
$1K |
| 81002 |
|
40 |
30 |
$96.97 |
| 81025 |
|
21 |
15 |
$95.62 |