| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,078 |
971 |
$46K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
214 |
212 |
$11K |
| T1015 |
Clinic visit/encounter, all-inclusive |
96 |
92 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
214 |
198 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
69 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
47 |
47 |
$4K |
| 99221 |
|
46 |
44 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
147 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
74 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$416.67 |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
13 |
$160.70 |
| 2001F |
|
180 |
161 |
$0.00 |
| 2010F |
|
176 |
157 |
$0.00 |
| 2000F |
|
204 |
184 |
$0.00 |
| 3008F |
|
247 |
216 |
$0.00 |
| 3028F |
|
35 |
35 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
48 |
48 |
$0.00 |