| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,335 |
1,244 |
$107K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
563 |
547 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
378 |
242 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
153 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
266 |
259 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
12 |
$438.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$172.70 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
13 |
$104.85 |