| Code | Description | Claims | Bene. Records | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
279 |
242 |
$37K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
289 |
252 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
126 |
106 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
113 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
41 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
29 |
$949.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
69 |
$882.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
101 |
$545.82 |