| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
27 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$739.09 |
| 93000 |
|
13 |
13 |
$235.56 |
| 99072 |
|
77 |
71 |
$125.00 |
| 71045 |
Radiologic examination, chest; single view |
331 |
202 |
$117.11 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
63 |
54 |
$16.52 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$0.00 |