| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,603 |
3,174 |
$309K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,326 |
5,413 |
$281K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,221 |
1,062 |
$154K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,660 |
1,510 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
481 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
521 |
465 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
197 |
183 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
224 |
197 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
229 |
132 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
494 |
472 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,065 |
1,027 |
$11K |
| W0037 |
|
2,218 |
2,218 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
180 |
73 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
409 |
367 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,282 |
1,147 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
123 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
57 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 90686 |
|
393 |
388 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
40 |
$2K |
| 0002A |
|
55 |
48 |
$2K |
| 0001A |
|
68 |
48 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
105 |
99 |
$2K |
| 91320 |
|
15 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$940.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$661.48 |
| 0012A |
|
14 |
14 |
$385.80 |
| 90656 |
|
50 |
49 |
$373.23 |
| 90480 |
|
15 |
14 |
$356.93 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
17 |
12 |
$134.82 |
| 81003 |
|
34 |
28 |
$76.13 |
| 91305 |
|
53 |
40 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 91301 |
|
20 |
16 |
$0.00 |
| 91300 |
|
156 |
95 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |