| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
132 |
122 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
87 |
69 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
106 |
102 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
115 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
325 |
300 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
329 |
$0.00 |
| J0586 |
Injection, abobotulinumtoxina, 5 units |
15 |
12 |
$0.00 |
| 64642 |
|
62 |
41 |
$0.00 |
| 64643 |
|
20 |
12 |
$0.00 |