| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,384 |
4,138 |
$184K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,300 |
2,216 |
$174K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
474 |
456 |
$59K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,709 |
1,619 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
1,131 |
1,023 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
106 |
106 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
338 |
276 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
75 |
69 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
26 |
$3K |
| 99307 |
|
126 |
105 |
$506.74 |
| 74019 |
|
15 |
12 |
$395.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,408 |
2,063 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
88 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
25 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
17 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,921 |
10,164 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,625 |
1,533 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
124 |
86 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$0.00 |