| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,448 |
3,206 |
$113K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,115 |
1,979 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,835 |
3,235 |
$86K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
111 |
109 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
387 |
354 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
42 |
38 |
$1K |
| 82962 |
|
716 |
638 |
$1K |
| 93000 |
|
95 |
88 |
$744.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$642.63 |
| 87428 |
|
31 |
29 |
$601.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
15 |
$455.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
26 |
$334.76 |
| 81002 |
|
150 |
131 |
$159.30 |
| 51798 |
|
17 |
13 |
$98.73 |
| 36416 |
|
70 |
64 |
$53.90 |
| 81003 |
|
42 |
25 |
$23.90 |
| 99051 |
|
13 |
13 |
$0.00 |