| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,612 |
2,295 |
$245K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,237 |
3,064 |
$147K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
131 |
115 |
$33K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
21 |
21 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$919.75 |
| 4004F |
|
55 |
51 |
$0.13 |
| 3079F |
|
23 |
22 |
$0.04 |
| 3074F |
|
27 |
26 |
$0.04 |
| 4010F |
|
14 |
13 |
$0.02 |
| 3077F |
|
16 |
15 |
$0.02 |
| 1036F |
|
18 |
17 |
$0.01 |
| 3078F |
|
14 |
13 |
$0.01 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
72 |
67 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
38 |
14 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
38 |
23 |
$0.00 |