| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,731 |
12,493 |
$750K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,850 |
1,812 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,992 |
1,817 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,225 |
2,049 |
$136K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,644 |
1,631 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
691 |
598 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
346 |
346 |
$30K |
| 42870 |
|
57 |
57 |
$29K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
148 |
148 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
689 |
663 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
129 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
590 |
590 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,002 |
998 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
179 |
179 |
$16K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
26 |
26 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
723 |
717 |
$6K |
| 90474 |
|
243 |
243 |
$4K |
| 87807 |
|
354 |
333 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
18 |
$733.21 |
| 71046 |
Radiologic examination, chest; 2 views |
89 |
85 |
$732.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
49 |
$661.87 |
| 92567 |
|
52 |
51 |
$601.32 |
| 90686 |
|
185 |
185 |
$288.74 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$50.10 |
| 90670 |
|
445 |
445 |
$0.00 |
| 90648 |
|
213 |
213 |
$0.00 |
| 96160 |
|
32 |
32 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 90680 |
|
243 |
243 |
$0.00 |
| 90723 |
|
76 |
76 |
$0.00 |
| 90698 |
|
18 |
18 |
$0.00 |