| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,213 |
2,885 |
$354K |
| 99460 |
|
2,797 |
2,542 |
$242K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,017 |
2,772 |
$207K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,797 |
2,553 |
$185K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,121 |
1,972 |
$86K |
| 99462 |
|
1,988 |
1,435 |
$78K |
| 99464 |
|
906 |
820 |
$60K |
| 99335 |
|
441 |
355 |
$28K |
| 99334 |
|
675 |
478 |
$26K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
64 |
15 |
$18K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
125 |
24 |
$10K |
| 99348 |
|
242 |
184 |
$9K |
| 99347 |
|
241 |
174 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
45 |
25 |
$839.88 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$299.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$0.00 |