| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,505 |
1,392 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
346 |
$32K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
249 |
234 |
$14K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
27 |
26 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
27 |
$2K |
| 96127 |
|
96 |
75 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$209.04 |
| 90656 |
|
12 |
12 |
$204.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
55 |
$0.00 |