| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
530 |
525 |
$44K |
| 96127 |
|
930 |
684 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
449 |
405 |
$9K |
| 99215 |
Prolong outpt/office vis |
104 |
97 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,143 |
2,059 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
110 |
108 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
41 |
41 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
50 |
31 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,028 |
984 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
158 |
115 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
381 |
368 |
$86.91 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
89 |
$59.30 |
| 96161 |
|
51 |
50 |
$6.42 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
115 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$0.00 |