| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,225 |
966 |
$43K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
431 |
410 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
279 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
483 |
436 |
$15K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
275 |
263 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
104 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$161.88 |