| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
590 |
525 |
$19K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
430 |
407 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
272 |
$12K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
227 |
212 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
177 |
164 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
125 |
$6K |
| 87428 |
|
32 |
32 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$806.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$657.04 |
| 3074F |
|
76 |
76 |
$0.00 |
| 3008F |
|
96 |
95 |
$0.00 |