| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,337 |
4,720 |
$731K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,152 |
2,862 |
$240K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,520 |
906 |
$65K |
| 90834 |
Psychotherapy, 45 minutes with patient |
764 |
436 |
$50K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,193 |
1,938 |
$19K |
| 99215 |
Prolong outpt/office vis |
53 |
46 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
161 |
$6K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
76 |
66 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
244 |
231 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
16 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$1K |
| 0012A |
|
29 |
29 |
$1K |
| 0011A |
|
27 |
27 |
$815.52 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
156 |
156 |
$648.96 |
| 90686 |
|
139 |
133 |
$34.06 |
| 91301 |
|
71 |
65 |
$0.00 |