| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
657 |
618 |
$24K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
160 |
156 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
234 |
219 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
80 |
77 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
74 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
16 |
$797.91 |
| 81003 |
|
28 |
26 |
$63.39 |