| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
287 |
$19K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
17 |
$894.89 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$779.13 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$705.84 |
| 80305 |
|
52 |
43 |
$326.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$144.20 |