| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
962 |
675 |
$53K |
| 59425 |
|
614 |
382 |
$34K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
334 |
280 |
$27K |
| 99215 |
Prolong outpt/office vis |
139 |
139 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,474 |
3,159 |
$15K |
| Z1032 |
|
92 |
92 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,371 |
2,197 |
$13K |
| Z6500 |
|
80 |
80 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
48 |
$9K |
| Z6406 |
|
763 |
556 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
79 |
72 |
$5K |
| Z6204 |
|
644 |
506 |
$5K |
| 99000 |
|
2,530 |
2,419 |
$3K |
| 59025 |
Fetal non-stress test |
288 |
253 |
$2K |
| Z6400 |
|
92 |
92 |
$1K |
| 81025 |
|
370 |
359 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$878.83 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
56 |
56 |
$712.32 |
| 4037F |
|
322 |
319 |
$0.00 |
| 81000 |
|
1,061 |
1,052 |
$0.00 |
| 3074F |
|
1,203 |
1,121 |
$0.00 |
| 92551 |
|
858 |
855 |
$0.00 |
| 3044F |
|
283 |
282 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
622 |
608 |
$0.00 |
| 90657 |
|
140 |
140 |
$0.00 |
| 1220F |
|
147 |
146 |
$0.00 |
| 92060 |
|
12 |
12 |
$0.00 |
| 3078F |
|
1,431 |
1,359 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
197 |
197 |
$0.00 |
| 99173 |
|
816 |
813 |
$0.00 |
| 98966 |
|
476 |
461 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
150 |
$0.00 |
| 90658 |
|
165 |
165 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
211 |
208 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$0.00 |