| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
498 |
430 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217 |
201 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
88 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134,777 |
88,009 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
50 |
$6K |
| G0381 |
Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
27 |
25 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,832 |
6,825 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
4,119 |
3,715 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
40 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
49 |
47 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,364 |
5,774 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,244 |
2,449 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
22 |
16 |
$2K |
| 72040 |
|
13,898 |
12,218 |
$806.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,115 |
3,882 |
$710.17 |
| 0002A |
|
17 |
17 |
$576.00 |
| 0001A |
|
15 |
15 |
$504.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,349 |
2,271 |
$200.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,972 |
8,433 |
$122.65 |
| 0012A |
|
67 |
67 |
$56.78 |
| 0064A |
|
55 |
55 |
$36.00 |
| 0011A |
|
50 |
50 |
$33.88 |
| 0071A |
|
26 |
24 |
$0.00 |
| 0004A |
|
25 |
25 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
20 |
19 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
12,391 |
10,732 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
59 |
59 |
$0.00 |
| 0134A |
|
72 |
72 |
$0.00 |