| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,595 |
1,524 |
$68K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
551 |
512 |
$42K |
| 87428 |
|
428 |
421 |
$25K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
155 |
133 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
325 |
318 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
437 |
426 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
47 |
$3K |
| 81003 |
|
15 |
15 |
$30.52 |