| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,201 |
2,890 |
$167K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,339 |
2,101 |
$149K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,423 |
2,221 |
$80K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
491 |
424 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
135 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
104 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$116.88 |