| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,071 |
11,375 |
$1.11M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,583 |
6,934 |
$434K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,389 |
6,366 |
$417K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,007 |
2,472 |
$343K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,233 |
1,923 |
$182K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
809 |
518 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,326 |
1,203 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,188 |
1,097 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
803 |
725 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
878 |
781 |
$59K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,035 |
6,066 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,008 |
391 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,785 |
1,601 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,947 |
2,634 |
$36K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,108 |
936 |
$34K |
| 99222 |
Initial hospital care, per day, moderate complexity |
482 |
401 |
$29K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
483 |
429 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,795 |
2,469 |
$27K |
| 92551 |
|
2,354 |
2,115 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
234 |
98 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
791 |
692 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
344 |
288 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
528 |
316 |
$11K |
| 96127 |
|
2,007 |
1,824 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
92 |
78 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
171 |
$7K |
| 90671 |
|
665 |
600 |
$7K |
| 10060 |
|
72 |
64 |
$5K |
| 31500 |
|
52 |
43 |
$5K |
| 12001 |
|
161 |
134 |
$5K |
| 12011 |
|
119 |
98 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
61 |
$4K |
| 12002 |
|
88 |
65 |
$4K |
| 99173 |
|
1,445 |
1,296 |
$3K |
| 87634 |
|
37 |
33 |
$2K |
| 90474 |
|
301 |
269 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
38 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
402 |
318 |
$1K |
| 99384 |
|
14 |
13 |
$1K |
| 99383 |
|
12 |
12 |
$895.76 |
| 90686 |
|
604 |
538 |
$885.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
43 |
$803.98 |
| 96160 |
|
256 |
232 |
$530.72 |
| 90651 |
|
326 |
286 |
$483.90 |
| 90734 |
|
394 |
347 |
$458.62 |
| 90648 |
|
730 |
633 |
$382.94 |
| 90670 |
|
79 |
61 |
$276.04 |
| 87807 |
|
20 |
14 |
$243.46 |
| 81002 |
|
32 |
30 |
$98.11 |
| 90656 |
|
295 |
285 |
$23.91 |
| 90680 |
|
345 |
300 |
$0.00 |
| 90723 |
|
469 |
410 |
$0.00 |
| 90696 |
|
132 |
120 |
$0.00 |
| 90716 |
|
52 |
41 |
$0.00 |
| 90620 |
|
32 |
26 |
$0.00 |
| 90633 |
|
451 |
397 |
$0.00 |
| 90710 |
|
212 |
189 |
$0.00 |
| 90715 |
|
164 |
149 |
$0.00 |
| 90700 |
|
85 |
81 |
$0.00 |
| 90707 |
|
49 |
37 |
$0.00 |
| 99001 |
|
41 |
38 |
$0.00 |
| 90461 |
|
15 |
13 |
$0.00 |