| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,304 |
7,724 |
$683K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
6,001 |
4,323 |
$208K |
| 99439 |
|
2,974 |
2,892 |
$141K |
| Q3014 |
Telehealth originating site facility fee |
6,044 |
3,952 |
$92K |
| 99490 |
Ccm add 20min |
3,168 |
3,064 |
$92K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,913 |
994 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
724 |
411 |
$40K |
| 98960 |
|
473 |
97 |
$27K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
309 |
245 |
$11K |
| 99487 |
Ccm add 20min |
420 |
418 |
$7K |
| 99489 |
Ccm add 20min |
409 |
407 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
115 |
84 |
$5K |
| 99205 |
Prolong outpt/office vis |
39 |
38 |
$4K |
| 95816 |
|
17 |
17 |
$4K |
| 99457 |
|
318 |
317 |
$2K |
| 99454 |
|
175 |
167 |
$2K |
| 96132 |
|
18 |
18 |
$1K |
| 95957 |
|
17 |
17 |
$931.01 |
| 92653 |
|
17 |
17 |
$809.80 |
| 99458 |
|
87 |
87 |
$672.99 |
| 96139 |
|
18 |
18 |
$357.85 |
| 93040 |
|
17 |
17 |
$153.12 |
| 96138 |
|
18 |
18 |
$147.17 |
| 99453 |
|
12 |
12 |
$42.13 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
14 |
$0.00 |