| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,006 |
938 |
$75K |
| 99235 |
|
439 |
344 |
$41K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,049 |
910 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
717 |
565 |
$31K |
| 59025 |
Fetal non-stress test |
2,334 |
1,960 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
124 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
119 |
107 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
35 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
95 |
91 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
16 |
$2K |