| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,231 |
2,216 |
$312K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
667 |
664 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
913 |
835 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
560 |
511 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
302 |
302 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
314 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
270 |
267 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
191 |
191 |
$19K |
| 99215 |
Prolong outpt/office vis |
102 |
91 |
$13K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
73 |
73 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
64 |
63 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
29 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
63 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
60 |
$935.40 |
| 99177 |
|
305 |
305 |
$343.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
672 |
671 |
$302.84 |
| 92551 |
|
427 |
427 |
$200.74 |
| 96127 |
|
271 |
271 |
$176.88 |
| 96160 |
|
271 |
271 |
$153.91 |
| 80061 |
Lipid panel |
27 |
27 |
$72.63 |
| 85018 |
|
51 |
51 |
$8.14 |
| 90680 |
|
84 |
84 |
$0.00 |
| 90723 |
|
109 |
109 |
$0.00 |
| 96161 |
|
234 |
232 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
270 |
266 |
$0.00 |
| 90677 |
|
147 |
147 |
$0.00 |
| 90651 |
|
70 |
70 |
$0.00 |
| 90619 |
|
36 |
36 |
$0.00 |
| G9920 |
Screening performed and negative |
544 |
544 |
$0.00 |
| 83655 |
|
87 |
87 |
$0.00 |
| 90633 |
|
82 |
82 |
$0.00 |
| 90661 |
|
84 |
84 |
$0.00 |
| 90648 |
|
152 |
152 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |