| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,346 |
3,137 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,425 |
2,244 |
$99K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,943 |
2,755 |
$93K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
764 |
721 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
705 |
646 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
931 |
895 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
288 |
257 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,507 |
1,256 |
$23K |
| 12011 |
|
12 |
12 |
$676.80 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
19 |
$413.63 |
| 96127 |
|
27 |
24 |
$394.20 |
| 81003 |
|
46 |
45 |
$100.28 |
| G8708 |
Patient not prescribed antibiotic |
32 |
32 |
$0.00 |
| 99053 |
|
31 |
29 |
$0.00 |