| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,957 |
5,368 |
$250K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,273 |
2,107 |
$75K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,719 |
8,283 |
$44K |
| 99233 |
Prolong inpt eval add15 m |
1,375 |
542 |
$43K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
175 |
159 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
123 |
107 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
216 |
189 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
251 |
226 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
370 |
166 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
64 |
53 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
46 |
$4K |
| 59514 |
|
12 |
12 |
$2K |
| 0002A |
|
46 |
45 |
$2K |
| 94375 |
|
143 |
126 |
$2K |
| 99215 |
Prolong outpt/office vis |
27 |
24 |
$1K |
| 0001A |
|
30 |
30 |
$1K |
| 0003A |
|
42 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$939.10 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
50 |
49 |
$888.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$483.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$268.02 |
| 59025 |
Fetal non-stress test |
14 |
14 |
$234.22 |
| 82962 |
|
90 |
77 |
$161.29 |
| 90686 |
|
28 |
28 |
$140.31 |
| 93000 |
|
14 |
12 |
$132.81 |
| 90870 |
|
23 |
14 |
$104.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
13 |
$102.57 |
| 3078F |
|
3,118 |
2,910 |
$0.00 |
| 3725F |
|
2,210 |
2,027 |
$0.00 |
| 1159F |
|
2,182 |
1,986 |
$0.00 |
| 1160F |
|
2,181 |
1,986 |
$0.00 |
| 1036F |
|
3,739 |
3,371 |
$0.00 |
| 3074F |
|
4,252 |
3,964 |
$0.00 |
| 3008F |
|
1,724 |
1,590 |
$0.00 |
| 3079F |
|
74 |
69 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |