| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,944 |
2,684 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,481 |
2,266 |
$78K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
323 |
301 |
$22K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
53 |
51 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
505 |
432 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
252 |
221 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$708.04 |
| 71045 |
Radiologic examination, chest; single view |
78 |
49 |
$501.11 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
15 |
15 |
$192.42 |
| 3079F |
|
309 |
291 |
$0.00 |
| 3074F |
|
1,653 |
1,531 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
596 |
538 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
155 |
150 |
$0.00 |
| 3075F |
|
57 |
55 |
$0.00 |
| 3078F |
|
1,537 |
1,430 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$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) |
45 |
42 |
$0.00 |