| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
868 |
833 |
$86K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
529 |
506 |
$37K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
626 |
559 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
354 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
342 |
275 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
201 |
160 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
706 |
554 |
$7K |
| S4993 |
Contraceptive pills for birth control |
161 |
147 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
126 |
120 |
$4K |
| 87806 |
|
185 |
138 |
$4K |
| 81025 |
|
809 |
588 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
52 |
52 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
13 |
$1K |
| 87210 |
|
267 |
227 |
$1K |
| 83986 |
|
266 |
227 |
$911.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
38 |
$641.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$307.80 |
| 85018 |
|
81 |
54 |
$174.00 |