| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,859 |
4,832 |
$376K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,507 |
2,439 |
$138K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,463 |
1,399 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
161 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
441 |
430 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
17 |
17 |
$10K |
| 76818 |
|
165 |
103 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
67 |
65 |
$8K |
| 81003 |
|
2,367 |
1,952 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$908.63 |
| 81025 |
|
104 |
101 |
$681.24 |
| 59025 |
Fetal non-stress test |
31 |
25 |
$613.63 |
| 11721 |
|
82 |
77 |
$312.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$225.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$169.08 |