| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
34,666 |
33,908 |
$1.58M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,825 |
10,526 |
$844K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,232 |
15,554 |
$547K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,578 |
1,554 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,669 |
1,638 |
$125K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,767 |
9,542 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,420 |
1,390 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,331 |
1,286 |
$92K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,679 |
2,559 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,352 |
1,299 |
$64K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,240 |
3,164 |
$44K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
926 |
878 |
$44K |
| 99460 |
|
840 |
795 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
420 |
413 |
$34K |
| 99173 |
|
1,086 |
1,057 |
$32K |
| 99233 |
Prolong inpt eval add15 m |
481 |
289 |
$29K |
| 99336 |
|
204 |
188 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
153 |
144 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
380 |
223 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
897 |
867 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
181 |
179 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
86 |
83 |
$11K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
38 |
13 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
66 |
63 |
$8K |
| 99462 |
|
248 |
210 |
$8K |
| 92551 |
|
630 |
615 |
$7K |
| 90686 |
|
1,833 |
1,803 |
$7K |
| 90698 |
|
929 |
911 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
429 |
336 |
$6K |
| 90670 |
|
845 |
827 |
$5K |
| 90680 |
|
438 |
427 |
$4K |
| 90633 |
|
290 |
284 |
$3K |
| 90474 |
|
425 |
413 |
$2K |
| 80061 |
Lipid panel |
142 |
139 |
$2K |
| 90685 |
|
261 |
254 |
$2K |
| 96161 |
|
683 |
575 |
$2K |
| 90744 |
|
206 |
202 |
$2K |
| 99243 |
|
25 |
25 |
$2K |
| 90651 |
|
60 |
58 |
$2K |
| 90688 |
|
333 |
330 |
$2K |
| 99217 |
|
29 |
27 |
$1K |
| 83655 |
|
79 |
79 |
$1K |
| 81025 |
|
192 |
186 |
$944.17 |
| 99381 |
|
13 |
12 |
$869.82 |
| 94010 |
|
24 |
24 |
$791.54 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
36 |
36 |
$322.72 |
| 99401 |
|
13 |
13 |
$229.50 |
| 99177 |
|
70 |
68 |
$229.19 |
| 81003 |
|
89 |
88 |
$211.17 |
| 87081 |
|
15 |
15 |
$150.06 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$116.07 |
| 2014F |
|
550 |
540 |
$0.00 |
| 3008F |
|
2,934 |
2,885 |
$0.00 |