| Code | Description | Claims | Beneficiaries | Total Paid |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,237 |
3,082 |
$137K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,549 |
1,489 |
$121K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
447 |
437 |
$60K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,136 |
2,054 |
$48K |
| 71046 |
Radiologic examination, chest; 2 views |
1,000 |
908 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
177 |
168 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
49 |
45 |
$6K |
| 76376 |
|
443 |
415 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
198 |
161 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
29 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$687.63 |
| 73130 |
|
12 |
12 |
$488.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,389 |
6,246 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,815 |
1,609 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
165 |
162 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,129 |
1,815 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
347 |
332 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
263 |
232 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
33 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
17 |
$0.00 |