| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,443 |
3,937 |
$318K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,575 |
3,287 |
$181K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,787 |
1,675 |
$54K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,077 |
1,017 |
$42K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
404 |
378 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
212 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
189 |
$18K |
| 90688 |
|
107 |
101 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
13 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90619 |
|
66 |
57 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$812.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
38 |
$732.19 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
45 |
38 |
$419.53 |
| 1003F |
|
265 |
227 |
$0.00 |
| 1036F |
|
124 |
99 |
$0.00 |
| 1220F |
|
124 |
99 |
$0.00 |