| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,281 |
4,228 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,688 |
2,608 |
$185K |
| H2015 |
Comprehensive community support services, per 15 minutes |
609 |
203 |
$129K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,544 |
2,519 |
$72K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
91 |
87 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
741 |
667 |
$12K |
| Q3014 |
Telehealth originating site facility fee |
566 |
555 |
$12K |
| H2032 |
Activity therapy, per 15 minutes |
74 |
13 |
$3K |
| H0038 |
Self-help/peer services, per 15 minutes |
15 |
14 |
$281.25 |
| T2003 |
Non-emergency transportation; encounter/trip |
23 |
12 |
$77.55 |