| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,167 |
3,106 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,619 |
9,677 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,233 |
5,100 |
$79K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,902 |
2,842 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,626 |
1,598 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,357 |
1,334 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,238 |
1,201 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,338 |
2,212 |
$37K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,514 |
7,826 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
801 |
786 |
$26K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
428 |
422 |
$25K |
| 90461 |
|
2,771 |
2,578 |
$22K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,003 |
983 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
520 |
232 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
337 |
156 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
216 |
211 |
$8K |
| 90686 |
|
692 |
662 |
$3K |
| 90670 |
|
422 |
391 |
$3K |
| 20610 |
|
172 |
122 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
75 |
75 |
$2K |
| 90723 |
|
242 |
236 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
115 |
114 |
$2K |
| 90734 |
|
114 |
109 |
$2K |
| 90473 |
|
366 |
356 |
$2K |
| 90651 |
|
60 |
57 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
87 |
80 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
125 |
$2K |
| 90619 |
|
13 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
57 |
$998.90 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
47 |
47 |
$559.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
215 |
$480.85 |
| 90716 |
|
39 |
38 |
$470.96 |
| 90685 |
|
30 |
28 |
$391.86 |
| 90756 |
|
19 |
19 |
$258.36 |
| 90715 |
|
50 |
45 |
$249.17 |
| 90633 |
|
86 |
81 |
$218.38 |
| 90648 |
|
392 |
365 |
$209.77 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
12 |
$197.40 |
| 99217 |
|
12 |
12 |
$186.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
38 |
$185.83 |
| 90707 |
|
26 |
25 |
$177.18 |
| 90474 |
|
17 |
17 |
$163.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
15 |
$156.09 |
| 90680 |
|
91 |
81 |
$84.53 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
49 |
38 |
$33.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$25.67 |
| 90672 |
|
75 |
69 |
$23.70 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$23.00 |
| 36416 |
|
75 |
74 |
$3.59 |
| 99024 |
|
308 |
236 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
18 |
13 |
$0.00 |