| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,087 |
6,250 |
$161K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,222 |
3,039 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,396 |
1,738 |
$70K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
549 |
514 |
$30K |
| 99215 |
Prolong outpt/office vis |
342 |
324 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
624 |
427 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,180 |
992 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
556 |
394 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
527 |
415 |
$16K |
| 99221 |
|
363 |
152 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
455 |
335 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
116 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
301 |
113 |
$4K |
| 11982 |
|
39 |
36 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
336 |
235 |
$2K |
| 31575 |
|
73 |
57 |
$2K |
| 99205 |
Prolong outpt/office vis |
68 |
43 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18 |
17 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$1K |
| 76775 |
|
113 |
89 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
90 |
79 |
$828.62 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
311 |
198 |
$587.64 |
| 87210 |
|
600 |
370 |
$308.49 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$268.99 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$265.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
47 |
$205.21 |
| 74018 |
|
29 |
25 |
$89.96 |
| 93000 |
|
34 |
28 |
$44.08 |
| 94760 |
|
364 |
176 |
$4.38 |
| 90715 |
|
16 |
12 |
$0.00 |
| 90686 |
|
84 |
67 |
$0.00 |
| 99406 |
|
25 |
13 |
$0.00 |