| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
356 |
$26K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
446 |
429 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
520 |
492 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
328 |
297 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
438 |
210 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
148 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
452 |
369 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
166 |
159 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$873.58 |
| 81003 |
|
39 |
28 |
$82.84 |