| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,562 |
5,401 |
$251K |
| 87428 |
|
2,802 |
2,721 |
$159K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
659 |
644 |
$62K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
296 |
285 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
587 |
579 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,311 |
1,264 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
38 |
38 |
$6K |
| 81025 |
|
428 |
425 |
$2K |
| 81002 |
|
336 |
335 |
$690.78 |
| 87210 |
|
199 |
197 |
$661.64 |