| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,946 |
3,747 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,667 |
3,049 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,295 |
1,989 |
$99K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,580 |
1,495 |
$40K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
372 |
345 |
$28K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
76 |
75 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
827 |
744 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
93 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
118 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
324 |
234 |
$5K |
| 96127 |
|
53 |
51 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
709 |
619 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
158 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
171 |
149 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
61 |
$803.55 |
| 90688 |
|
92 |
88 |
$768.94 |
| 93042 |
|
104 |
92 |
$742.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$575.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
145 |
$498.61 |
| 90686 |
|
42 |
34 |
$408.65 |
| 99307 |
|
38 |
37 |
$336.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
54 |
51 |
$300.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$266.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$234.25 |
| 84520 |
|
28 |
26 |
$87.50 |
| 82565 |
|
15 |
14 |
$57.03 |
| 84132 |
|
14 |
13 |
$26.12 |
| 84295 |
|
14 |
13 |
$13.66 |