| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,101 |
2,892 |
$135K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
790 |
689 |
$77K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
783 |
692 |
$52K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,178 |
1,124 |
$50K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
177 |
172 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
262 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
36 |
$877.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$310.05 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
13 |
$94.12 |
| 94760 |
|
34 |
32 |
$0.00 |