| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,105 |
1,841 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
622 |
542 |
$35K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
278 |
263 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
63 |
63 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
148 |
139 |
$4K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$861.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$607.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$272.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
45 |
$82.50 |