| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
436 |
408 |
$20K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
439 |
414 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
378 |
327 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
177 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
129 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$93.63 |
| 99070 |
|
14 |
14 |
$37.50 |
| 99072 |
|
90 |
77 |
$30.00 |
| 99053 |
|
442 |
425 |
$0.00 |