| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,281 |
12,563 |
$818K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,946 |
17,534 |
$713K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,360 |
9,447 |
$641K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,485 |
6,547 |
$480K |
| 59426 |
|
4,631 |
2,585 |
$397K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,793 |
4,323 |
$242K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,192 |
2,714 |
$213K |
| 59425 |
|
2,603 |
2,029 |
$207K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,456 |
1,294 |
$125K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
588 |
526 |
$32K |
| 92567 |
|
2,512 |
2,337 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
269 |
$23K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
381 |
225 |
$19K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
95 |
93 |
$17K |
| 81025 |
|
2,928 |
2,569 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
615 |
582 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
6,415 |
5,463 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,930 |
2,674 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
213 |
187 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
200 |
172 |
$12K |
| 81003 |
|
7,183 |
5,999 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
772 |
567 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
148 |
113 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
59 |
49 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
420 |
346 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
56 |
53 |
$3K |
| 90715 |
|
137 |
111 |
$2K |
| 93000 |
|
54 |
52 |
$2K |
| 90686 |
|
117 |
100 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$1K |
| 90688 |
|
65 |
58 |
$826.84 |
| 69210 |
|
44 |
42 |
$549.51 |
| 92587 |
|
29 |
25 |
$455.06 |
| 92557 |
|
25 |
24 |
$395.52 |
| 31575 |
|
14 |
13 |
$368.20 |
| 94760 |
|
73 |
67 |
$14.40 |
| 99024 |
|
610 |
529 |
$0.00 |
| 3008F |
|
28 |
27 |
$0.00 |
| 0501F |
|
90 |
81 |
$0.00 |
| 0502F |
|
3,901 |
2,823 |
$0.00 |