| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
388 |
385 |
$15K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
110 |
108 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
150 |
149 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
229 |
154 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
59 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$195.00 |