| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,014 |
11,997 |
$691K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,064 |
15,172 |
$555K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,218 |
9,991 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,371 |
4,740 |
$223K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,891 |
2,419 |
$147K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,912 |
4,513 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
601 |
563 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
923 |
805 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,768 |
1,443 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
186 |
178 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
222 |
171 |
$7K |
| 99220 |
|
162 |
124 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,620 |
1,164 |
$5K |
| 99215 |
Prolong outpt/office vis |
80 |
75 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
101 |
95 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
145 |
113 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
139 |
70 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
155 |
54 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
35 |
33 |
$1K |
| 99217 |
|
50 |
41 |
$1K |
| 12001 |
|
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
64 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$925.99 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
102 |
92 |
$529.96 |
| 90688 |
|
43 |
41 |
$380.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
40 |
$370.98 |
| 99173 |
|
82 |
78 |
$322.18 |
| 90686 |
|
25 |
24 |
$281.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
171 |
148 |
$67.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
108 |
96 |
$55.77 |
| 96127 |
|
13 |
13 |
$49.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
201 |
179 |
$21.59 |
| 71045 |
Radiologic examination, chest; single view |
15 |
12 |
$7.08 |
| 3074F |
|
20 |
19 |
$0.00 |
| 3008F |
|
143 |
128 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
13 |
$0.00 |
| 3079F |
|
16 |
15 |
$0.00 |
| 4010F |
|
16 |
16 |
$0.00 |