| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,068 |
886 |
$81K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
416 |
350 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
244 |
171 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
249 |
240 |
$5K |
| 99000 |
|
62 |
39 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
81 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
38 |
$3K |
| 80305 |
|
233 |
177 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
26 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
42 |
$690.80 |
| 20553 |
|
17 |
14 |
$539.75 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
69 |
57 |
$484.07 |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
20 |
17 |
$237.15 |
| 81025 |
|
75 |
63 |
$185.55 |
| 81002 |
|
65 |
41 |
$0.00 |
| 82570 |
|
65 |
41 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
99 |
74 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
12 |
12 |
$0.00 |