| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
546 |
480 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,851 |
1,689 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,926 |
2,668 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 90670 |
|
447 |
391 |
$768.77 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$731.78 |
| 90656 |
|
370 |
325 |
$212.06 |
| 90700 |
|
114 |
113 |
$192.00 |
| 90713 |
|
75 |
74 |
$164.00 |
| 90648 |
|
210 |
181 |
$130.98 |
| 90707 |
|
136 |
134 |
$92.00 |
| 90651 |
|
232 |
227 |
$90.00 |
| 90633 |
|
291 |
278 |
$64.00 |
| 90620 |
|
67 |
67 |
$36.00 |
| 90723 |
|
87 |
69 |
$30.00 |
| 90734 |
|
81 |
80 |
$26.00 |
| 90716 |
|
131 |
129 |
$24.00 |
| 90681 |
|
45 |
31 |
$20.00 |
| 90658 |
|
17 |
15 |
$13.60 |
| 90715 |
|
66 |
65 |
$8.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |
| 90733 |
|
19 |
19 |
$0.00 |