| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
727 |
626 |
$27K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
215 |
207 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
153 |
146 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
66 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
98 |
$6K |
| 90686 |
|
505 |
496 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
51 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
12 |
$277.74 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$84.36 |