| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
93 |
52 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
115 |
$4K |
| 11721 |
|
401 |
185 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
13 |
$463.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
120 |
$326.60 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
14 |
$169.35 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25 |
13 |
$0.00 |
| 81003 |
|
68 |
53 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
12 |
$0.00 |