| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,206 |
15,577 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,054 |
3,914 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,274 |
1,102 |
$25K |
| Q3014 |
Telehealth originating site facility fee |
718 |
469 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
83 |
82 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
142 |
110 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
30 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
14 |
$783.90 |
| 96160 |
|
159 |
148 |
$763.02 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
123 |
98 |
$627.84 |
| 20610 |
|
13 |
13 |
$571.70 |
| 81002 |
|
324 |
264 |
$307.68 |
| 99215 |
Prolong outpt/office vis |
141 |
117 |
$238.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$192.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
294 |
211 |
$135.33 |
| 0502F |
|
433 |
330 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
13 |
$0.00 |
| 87428 |
|
12 |
12 |
$0.00 |