| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,132 |
3,118 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
372 |
$41K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
372 |
289 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
527 |
523 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194 |
189 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
123 |
110 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
85 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$541.19 |
| 85018 |
|
98 |
98 |
$316.22 |
| 90670 |
|
65 |
65 |
$0.00 |
| 90648 |
|
52 |
52 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90686 |
|
169 |
169 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |