| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,625 |
2,400 |
$188K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,042 |
1,834 |
$106K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,765 |
1,552 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
100 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
19 |
$761.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
47 |
$737.90 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
18 |
$250.58 |