| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
507 |
503 |
$19K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
188 |
185 |
$13K |
| 90686 |
|
1,507 |
1,505 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
94 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
22 |
$1K |
| 90674 |
|
155 |
155 |
$829.25 |
| 99201 |
|
15 |
15 |
$735.00 |
| 90715 |
|
34 |
34 |
$537.54 |
| 90734 |
|
68 |
68 |
$358.36 |
| 99053 |
|
13 |
13 |
$135.07 |