| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
910 |
888 |
$72K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,002 |
955 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
139 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
43 |
41 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
13 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
41 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$994.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$930.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
28 |
$839.76 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
27 |
26 |
$768.04 |
| 90674 |
|
13 |
12 |
$161.19 |