| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 54300 |
|
1,953 |
1,767 |
$1.16M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,139 |
5,601 |
$1.02M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,232 |
9,953 |
$974K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,265 |
15,746 |
$840K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,213 |
4,614 |
$425K |
| 14040 |
|
235 |
185 |
$165K |
| 54161 |
|
1,022 |
933 |
$137K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,100 |
1,874 |
$107K |
| 54640 |
|
48 |
39 |
$21K |
| 50081 |
|
17 |
12 |
$18K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
51 |
49 |
$15K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
35 |
34 |
$14K |
| 52000 |
|
133 |
118 |
$10K |
| 99215 |
Prolong outpt/office vis |
118 |
99 |
$10K |
| 81002 |
|
2,804 |
2,331 |
$6K |
| 51798 |
|
1,293 |
1,134 |
$5K |
| 54163 |
|
26 |
24 |
$4K |
| 99205 |
Prolong outpt/office vis |
22 |
22 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31 |
31 |
$3K |
| A0425 |
Ground mileage, per statute mile |
86 |
83 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$2K |
| 51728 |
|
24 |
24 |
$2K |
| 99443 |
|
78 |
69 |
$1K |
| 51784 |
|
80 |
67 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
90 |
73 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
79 |
$450.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$391.85 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$391.82 |
| 51797 |
|
12 |
12 |
$318.26 |
| 51741 |
|
134 |
98 |
$181.04 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$48.00 |
| 74420 |
|
16 |
13 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
121 |
99 |
$0.00 |
| 52332 |
|
14 |
12 |
$0.00 |