| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,479 |
3,174 |
$241K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,005 |
4,402 |
$175K |
| Q3014 |
Telehealth originating site facility fee |
5,133 |
3,726 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,959 |
1,648 |
$101K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,136 |
1,076 |
$54K |
| 99441 |
|
2,961 |
2,093 |
$40K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
528 |
469 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
87 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
173 |
108 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
118 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
179 |
150 |
$5K |
| 99401 |
|
151 |
133 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
266 |
138 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
214 |
104 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
39 |
$535.65 |
| 99454 |
|
50 |
50 |
$281.31 |
| 99407 |
|
13 |
13 |
$250.64 |
| 99457 |
|
38 |
38 |
$204.74 |
| 99443 |
|
18 |
17 |
$187.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
12 |
$181.80 |
| 99458 |
|
26 |
26 |
$131.17 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
341 |
126 |
$0.00 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
20 |
20 |
$0.00 |