| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,232 |
3,178 |
$151K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
972 |
954 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,308 |
1,285 |
$49K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
687 |
672 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
635 |
541 |
$30K |
| 99215 |
Prolong outpt/office vis |
161 |
119 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
301 |
159 |
$11K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
215 |
209 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
55 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
24 |
24 |
$3K |
| 99221 |
|
14 |
14 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
15 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
18 |
14 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
12 |
$0.00 |