| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
265 |
245 |
$13K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
153 |
150 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
40 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$656.39 |