| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,062 |
953 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
590 |
557 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
177 |
$29K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,478 |
2,130 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
230 |
230 |
$16K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
53 |
52 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
25 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
21 |
12 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
16 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 93000 |
|
74 |
73 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
23 |
$1K |
| 99460 |
|
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47 |
47 |
$980.00 |
| 73630 |
|
32 |
32 |
$556.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$493.00 |
| 73110 |
|
20 |
20 |
$425.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$402.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
43 |
$142.47 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
39 |
$66.00 |
| 99024 |
|
20 |
12 |
$0.00 |