| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,912 |
3,626 |
$367K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,447 |
1,439 |
$135K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
899 |
823 |
$126K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,887 |
1,119 |
$80K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
707 |
648 |
$36K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
226 |
220 |
$34K |
| 95117 |
|
1,494 |
927 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
278 |
273 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
81 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
49 |
49 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
66 |
65 |
$5K |
| 99218 |
|
72 |
72 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
34 |
26 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47 |
24 |
$2K |
| 0012A |
|
29 |
29 |
$1K |
| 0011A |
|
41 |
41 |
$863.36 |
| 90686 |
|
27 |
27 |
$497.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$489.21 |
| 99217 |
|
12 |
12 |
$383.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$196.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$76.04 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
30 |
$29.82 |
| 99053 |
|
372 |
369 |
$4.50 |
| 91301 |
|
17 |
13 |
$0.00 |