| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99234 |
|
969 |
943 |
$66K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
143 |
125 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,717 |
1,331 |
$7K |
| 99217 |
|
107 |
107 |
$4K |
| 99443 |
|
170 |
143 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
231 |
229 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
107 |
$559.40 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18 |
16 |
$291.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$285.60 |
| 96127 |
|
345 |
303 |
$78.64 |
| 96160 |
|
287 |
261 |
$5.42 |
| 99173 |
|
29 |
28 |
$0.00 |
| 3078F |
|
246 |
181 |
$0.00 |
| 1159F |
|
706 |
622 |
$0.00 |
| 1160F |
|
716 |
630 |
$0.00 |
| 3725F |
|
79 |
62 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$0.00 |
| 1158F |
|
29 |
14 |
$0.00 |
| 3008F |
|
943 |
783 |
$0.00 |
| 3074F |
|
238 |
175 |
$0.00 |
| 1157F |
|
29 |
14 |
$0.00 |
| 1126F |
|
417 |
363 |
$0.00 |
| 2000F |
|
231 |
146 |
$0.00 |
| 1170F |
|
541 |
474 |
$0.00 |
| 1125F |
|
108 |
94 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |