| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,926 |
1,782 |
$89K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
578 |
531 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
615 |
578 |
$18K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
230 |
207 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
164 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
311 |
298 |
$7K |
| 87428 |
|
111 |
102 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
200 |
181 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
245 |
223 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
69 |
60 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
19 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$615.72 |
| 93042 |
|
12 |
12 |
$8.40 |