| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
752 |
642 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
646 |
$31K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
363 |
316 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
242 |
214 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
46 |
40 |
$4K |
| 87428 |
|
59 |
59 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
101 |
101 |
$2K |