| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,599 |
1,435 |
$79K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
577 |
491 |
$44K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,229 |
1,084 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
188 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
125 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
63 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
122 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$735.15 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
37 |
17 |
$347.98 |
| 99053 |
|
196 |
192 |
$0.00 |