| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,283 |
6,704 |
$372K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,787 |
5,595 |
$329K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,482 |
6,437 |
$263K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,156 |
2,891 |
$251K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,117 |
6,555 |
$220K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
888 |
760 |
$59K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,356 |
2,179 |
$44K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
507 |
423 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
304 |
142 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,041 |
1,845 |
$13K |
| 20610 |
|
404 |
280 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
123 |
110 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
663 |
546 |
$6K |
| 97760 |
|
310 |
238 |
$6K |
| 99215 |
Prolong outpt/office vis |
79 |
64 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
172 |
109 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
79 |
69 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
320 |
296 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
137 |
114 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
443 |
381 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
52 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
85 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
26 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
85 |
50 |
$2K |
| 99386 |
|
30 |
29 |
$2K |
| 94060 |
|
24 |
17 |
$597.47 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
28 |
$413.39 |
| 99385 |
|
15 |
15 |
$221.04 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
139 |
130 |
$200.99 |
| 95886 |
|
13 |
12 |
$147.84 |
| 90461 |
|
53 |
48 |
$65.00 |
| 81002 |
|
16 |
13 |
$34.86 |
| 94760 |
|
141 |
103 |
$11.94 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
130 |
121 |
$0.00 |
| 99024 |
|
128 |
98 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
52 |
47 |
$0.00 |