| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,642 |
4,948 |
$298K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,635 |
2,309 |
$203K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,615 |
1,466 |
$75K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
648 |
597 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
465 |
432 |
$36K |
| 99215 |
Prolong outpt/office vis |
298 |
255 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
200 |
174 |
$22K |
| 62323 |
|
263 |
240 |
$19K |
| 95117 |
|
1,762 |
901 |
$19K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
83 |
70 |
$9K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
99 |
79 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
189 |
171 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
104 |
$4K |
| 94010 |
|
139 |
119 |
$4K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$3K |
| 92557 |
|
94 |
88 |
$2K |
| 93000 |
|
114 |
93 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
81 |
$1K |
| 92550 |
|
104 |
97 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$1K |
| 62321 |
|
14 |
12 |
$813.56 |
| 99443 |
|
34 |
20 |
$619.95 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
117 |
95 |
$488.49 |
| 90688 |
|
26 |
25 |
$358.58 |
| 51798 |
|
57 |
39 |
$349.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
27 |
$265.78 |
| 81003 |
|
43 |
36 |
$64.52 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
27 |
13 |
$12.94 |