| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
724 |
710 |
$35K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
359 |
356 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
578 |
556 |
$27K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
24 |
24 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
76 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
44 |
$720.20 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$386.92 |