| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,980 |
1,840 |
$40K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
156 |
152 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
207 |
195 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
82 |
78 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
26 |
26 |
$26.65 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
150 |
$25.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
93 |
82 |
$23.31 |
| 82947 |
|
19 |
12 |
$19.65 |