| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,055 |
2,376 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,303 |
1,146 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
585 |
528 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
256 |
$11K |
| 0012A |
|
309 |
199 |
$5K |
| 0011A |
|
342 |
209 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
228 |
72 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
44 |
26 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
29 |
$1K |
| 0064A |
|
35 |
26 |
$854.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
45 |
$798.91 |
| 99385 |
|
26 |
16 |
$613.36 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$542.37 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
23 |
$535.64 |
| 0031A |
|
27 |
17 |
$296.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$162.86 |
| 3044F |
|
1,585 |
1,292 |
$110.00 |
| 81025 |
|
12 |
12 |
$56.81 |
| 81002 |
|
31 |
28 |
$48.74 |
| 3008F |
|
6,390 |
4,943 |
$0.00 |
| 3079F |
|
2,140 |
1,690 |
$0.00 |
| 3075F |
|
772 |
602 |
$0.00 |
| 3074F |
|
4,066 |
3,236 |
$0.00 |
| 4010F |
|
633 |
496 |
$0.00 |
| 3080F |
|
83 |
74 |
$0.00 |
| 3066F |
|
69 |
52 |
$0.00 |
| 91301 |
|
437 |
285 |
$0.00 |
| 3077F |
|
295 |
232 |
$0.00 |
| 1159F |
|
6,580 |
5,178 |
$0.00 |
| 1160F |
|
3,147 |
2,455 |
$0.00 |
| 3078F |
|
2,922 |
2,338 |
$0.00 |
| 91300 |
|
51 |
27 |
$0.00 |