| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
92,164 |
79,867 |
$5.77M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
47,502 |
40,044 |
$3.53M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
63,194 |
58,430 |
$2.94M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
22,646 |
18,642 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,328 |
1,291 |
$90K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
557 |
465 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
719 |
713 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
294 |
291 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
241 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
533 |
528 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
280 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
859 |
596 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
119 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
667 |
340 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
96 |
94 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
289 |
243 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
62 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
308 |
246 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
73 |
40 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
196 |
194 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
26 |
$2K |
| 87807 |
|
138 |
136 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
24 |
21 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 96127 |
|
216 |
214 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
84 |
83 |
$878.94 |
| 0001A |
|
20 |
20 |
$800.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
38 |
$635.46 |
| 0002A |
|
22 |
22 |
$560.00 |
| 96161 |
|
56 |
55 |
$258.68 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
833 |
816 |
$0.00 |
| 90672 |
|
31 |
31 |
$0.00 |
| 1160F |
|
133 |
133 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 1159F |
|
133 |
133 |
$0.00 |
| 90670 |
|
70 |
70 |
$0.00 |
| 99053 |
|
30 |
19 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
122 |
$0.00 |
| 90647 |
|
47 |
47 |
$0.00 |
| 3008F |
|
673 |
666 |
$0.00 |
| 90686 |
|
69 |
68 |
$0.00 |
| 90723 |
|
55 |
55 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |