| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,386 |
1,320 |
$128K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,648 |
1,624 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
209 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
45 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
36 |
$590.57 |
| 99053 |
|
13 |
13 |
$25.50 |
| 1125F |
|
35 |
35 |
$0.00 |
| 1126F |
|
18 |
17 |
$0.00 |