| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,920 |
3,290 |
$220K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,778 |
3,666 |
$156K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,251 |
2,148 |
$148K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
848 |
818 |
$35K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
362 |
343 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,278 |
2,043 |
$33K |
| 0002A |
|
550 |
547 |
$20K |
| 0001A |
|
555 |
548 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,008 |
913 |
$17K |
| 80305 |
|
1,732 |
1,098 |
$9K |
| 0004A |
|
231 |
217 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
297 |
278 |
$7K |
| 98926 |
|
408 |
251 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
531 |
411 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
151 |
50 |
$3K |
| 0071A |
|
92 |
85 |
$3K |
| 0072A |
|
57 |
57 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
29 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
247 |
205 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
200 |
144 |
$2K |
| 90686 |
|
312 |
281 |
$2K |
| 0012A |
|
62 |
57 |
$2K |
| 90461 |
|
116 |
95 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
268 |
211 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
37 |
$1K |
| 0064A |
|
42 |
42 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
37 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$866.04 |
| 11720 |
|
241 |
83 |
$814.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
51 |
$641.28 |
| 11721 |
|
99 |
71 |
$509.00 |
| 0011A |
|
33 |
27 |
$406.60 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
244 |
224 |
$367.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
47 |
41 |
$358.42 |
| 99442 |
|
14 |
13 |
$319.49 |
| 98925 |
|
21 |
13 |
$197.72 |
| 90688 |
|
35 |
29 |
$19.39 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
85 |
79 |
$13.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$4.21 |
| 91300 |
|
1,433 |
1,283 |
$0.00 |
| 90670 |
|
22 |
16 |
$0.00 |
| 91301 |
|
117 |
106 |
$0.00 |