| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
10,670 |
9,751 |
$1.75M |
| 0450 |
Emergency room services |
28,991 |
26,210 |
$1.65M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,736 |
8,486 |
$317K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,878 |
5,720 |
$130K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,306 |
2,185 |
$69K |
| 0510 |
|
3,048 |
2,585 |
$65K |
| 99205 |
Prolong outpt/office vis |
390 |
342 |
$64K |
| 99199 |
Unlisted special service, procedure or report |
1,655 |
1,560 |
$32K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
879 |
789 |
$26K |
| 0761 |
|
691 |
594 |
$13K |
| 99221 |
|
805 |
709 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
527 |
471 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
58 |
$5K |
| 0760 |
|
393 |
357 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
68 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
67 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
320 |
291 |
$3K |
| 90670 |
|
38 |
30 |
$3K |
| 90715 |
|
43 |
40 |
$3K |
| 90698 |
|
38 |
29 |
$1K |
| G0378 |
Hospital observation service, per hour |
104 |
98 |
$1K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
24 |
24 |
$961.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
38 |
33 |
$936.83 |
| 12001 |
|
15 |
13 |
$884.48 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
54 |
$706.85 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
17 |
$700.47 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$683.32 |
| 92100 |
|
53 |
46 |
$627.76 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
101 |
88 |
$595.95 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
84 |
68 |
$555.73 |
| 90744 |
|
43 |
39 |
$452.49 |
| 76827 |
|
15 |
12 |
$452.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
84 |
72 |
$420.35 |
| 59020 |
|
16 |
12 |
$393.13 |
| 90653 |
|
18 |
16 |
$314.90 |
| 80061 |
Lipid panel |
25 |
23 |
$281.57 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
12 |
$269.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
26 |
$263.49 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$235.63 |
| 92285 |
|
19 |
17 |
$170.50 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$108.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
15 |
$101.79 |
| 99201 |
|
12 |
12 |
$95.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
49 |
$56.04 |
| 85018 |
|
16 |
14 |
$20.50 |
| 36415 |
Collection of venous blood by venipuncture |
154 |
135 |
$19.71 |
| 0250 |
|
15 |
12 |
$7.91 |
| 81002 |
|
15 |
13 |
$5.98 |
| 99173 |
|
14 |
12 |
$0.00 |