| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
726 |
723 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,164 |
1,151 |
$28K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
231 |
93 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
468 |
463 |
$16K |
| 00812 |
|
445 |
364 |
$16K |
| 00731 |
|
229 |
194 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,672 |
1,437 |
$11K |
| 01922 |
|
52 |
44 |
$10K |
| 00811 |
|
256 |
243 |
$9K |
| 62323 |
|
88 |
87 |
$3K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
14 |
14 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$2K |
| 00142 |
|
37 |
37 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
156 |
155 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
25 |
25 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
15 |
$466.83 |
| 76942 |
|
28 |
27 |
$394.40 |
| 71045 |
Radiologic examination, chest; single view |
53 |
50 |
$380.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$369.47 |
| 99442 |
|
30 |
30 |
$358.47 |
| 20552 |
|
13 |
13 |
$166.44 |
| 99100 |
|
27 |
27 |
$147.01 |
| 99441 |
|
12 |
12 |
$48.95 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
51 |
50 |
$23.40 |
| 4255F |
|
94 |
84 |
$0.00 |