| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,770 |
3,393 |
$170K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,253 |
1,920 |
$77K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,581 |
1,455 |
$37K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
951 |
285 |
$15K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
435 |
147 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
651 |
470 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
174 |
162 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
90 |
$3K |
| 73630 |
|
217 |
149 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
210 |
183 |
$978.53 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
30 |
25 |
$618.89 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$565.60 |
| 71045 |
Radiologic examination, chest; single view |
223 |
165 |
$461.91 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
27 |
$390.54 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
150 |
100 |
$369.14 |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
13 |
$233.29 |
| 20610 |
|
23 |
12 |
$213.98 |
| 11721 |
|
21 |
14 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
29 |
27 |
$0.00 |