| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,559 |
2,448 |
$170K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,736 |
1,717 |
$163K |
| 99223 |
Prolong inpt eval add15 m |
1,287 |
1,214 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,868 |
1,831 |
$130K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,392 |
1,366 |
$109K |
| 99233 |
Prolong inpt eval add15 m |
1,183 |
578 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,385 |
1,340 |
$67K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
883 |
866 |
$60K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
512 |
511 |
$46K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
620 |
593 |
$41K |
| 99222 |
Initial hospital care, per day, moderate complexity |
178 |
177 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
119 |
119 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
660 |
657 |
$5K |
| 90715 |
|
129 |
128 |
$4K |
| 90686 |
|
210 |
208 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,740 |
1,700 |
$4K |
| 81002 |
|
1,293 |
1,288 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
571 |
529 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
50 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
72 |
68 |
$2K |
| 88141 |
|
127 |
127 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
81 |
$785.67 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
25 |
$763.93 |
| 88112 |
|
44 |
43 |
$681.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$304.32 |
| 81025 |
|
42 |
41 |
$285.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$189.00 |
| 81000 |
|
34 |
34 |
$110.23 |
| 3074F |
|
388 |
380 |
$0.00 |
| 3079F |
|
168 |
167 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
133 |
129 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
90 |
87 |
$0.00 |
| 3078F |
|
262 |
257 |
$0.00 |
| 3077F |
|
27 |
27 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
12 |
12 |
$0.00 |