| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
457 |
439 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
293 |
293 |
$15K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
261 |
252 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
205 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
25 |
25 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90686 |
|
97 |
97 |
$0.07 |
| 90670 |
|
49 |
49 |
$0.03 |
| 99053 |
|
194 |
188 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 99406 |
|
16 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |