| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
871 |
820 |
$57K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,090 |
1,070 |
$54K |
| 95117 |
|
1,744 |
1,021 |
$27K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
158 |
149 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
280 |
$10K |
| 94010 |
|
58 |
52 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
57 |
$988.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$632.12 |
| 96160 |
|
13 |
12 |
$0.07 |
| 99072 |
|
48 |
45 |
$0.00 |
| 99053 |
|
38 |
38 |
$0.00 |
| 5250F |
|
13 |
12 |
$0.00 |