| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,645 |
1,587 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,575 |
$87K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
166 |
161 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
174 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
78 |
75 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
283 |
273 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
55 |
$2K |
| 76140 |
|
127 |
116 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
125 |
$2K |
| 81025 |
|
238 |
220 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
32 |
$838.03 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20 |
20 |
$717.48 |
| 81000 |
|
184 |
170 |
$558.54 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
42 |
$554.12 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
42 |
39 |
$362.72 |