| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,342 |
4,928 |
$443K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,075 |
7,572 |
$407K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,037 |
7,614 |
$242K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,220 |
1,135 |
$142K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
925 |
860 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,096 |
963 |
$60K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
595 |
555 |
$35K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,344 |
629 |
$30K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
483 |
448 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
423 |
366 |
$26K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
221 |
205 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
189 |
175 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
471 |
403 |
$18K |
| 00731 |
|
142 |
134 |
$16K |
| 43450 |
|
370 |
340 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
197 |
88 |
$10K |
| 93016 |
|
441 |
411 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
213 |
111 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
151 |
$7K |
| 93018 |
|
441 |
411 |
$7K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
138 |
47 |
$4K |
| 00813 |
|
26 |
26 |
$3K |
| 99226 |
|
38 |
27 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
12 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
40 |
40 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
41 |
38 |
$2K |
| 00811 |
|
12 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$939.10 |
| 11102 |
|
34 |
26 |
$619.91 |
| 20610 |
|
19 |
16 |
$544.18 |
| 93227 |
|
13 |
13 |
$339.60 |
| 95806 |
|
24 |
14 |
$284.08 |