| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,088 |
11,514 |
$657K |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,129 |
6,098 |
$470K |
| T2023 |
Targeted case management; per month |
135 |
118 |
$39K |
| 90791 |
Psychiatric diagnostic evaluation |
130 |
125 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
103 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
262 |
218 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
897 |
792 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
111 |
$3K |
| 84703 |
|
259 |
245 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
39 |
$1K |
| 90756 |
|
35 |
31 |
$519.81 |
| 81025 |
|
74 |
71 |
$456.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
31 |
$391.98 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
15 |
$270.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
17 |
$30.20 |
| 3048F |
|
50 |
49 |
$0.01 |
| 81002 |
|
19 |
18 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
158 |
68 |
$0.00 |