| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,336 |
4,152 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,213 |
5,667 |
$220K |
| 90834 |
Psychotherapy, 45 minutes with patient |
719 |
329 |
$66K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
633 |
597 |
$50K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,234 |
1,184 |
$33K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
425 |
296 |
$29K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
379 |
359 |
$27K |
| 92567 |
|
1,313 |
1,233 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,464 |
1,370 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
565 |
514 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,147 |
1,065 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
125 |
$10K |
| 90686 |
|
561 |
536 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
401 |
367 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
14 |
$3K |
| 92579 |
|
106 |
105 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
60 |
58 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
91 |
87 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$1K |
| 73630 |
|
106 |
100 |
$800.02 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$792.85 |
| 92582 |
|
29 |
27 |
$691.94 |
| 73610 |
|
57 |
53 |
$430.11 |
| 92557 |
|
13 |
12 |
$327.72 |
| 90656 |
|
27 |
27 |
$250.86 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
29 |
$224.97 |
| 90670 |
|
12 |
12 |
$0.00 |