| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,679 |
3,490 |
$147K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,108 |
1,049 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
495 |
425 |
$11K |
| 99349 |
|
477 |
472 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
56 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
94 |
93 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
30 |
$2K |
| 99348 |
|
45 |
45 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
27 |
$219.99 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
404 |
400 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$0.00 |
| 4040F |
|
167 |
164 |
$0.00 |
| 91300 |
|
14 |
13 |
$0.00 |