| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
639 |
596 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
672 |
595 |
$6K |
| 99215 |
Prolong outpt/office vis |
117 |
111 |
$3K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
67 |
67 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
234 |
196 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,162 |
986 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
114 |
112 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
125 |
114 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
12 |
$1K |
| 0001A |
|
22 |
21 |
$839.52 |
| 0002A |
|
22 |
22 |
$839.52 |
| 90961 |
|
14 |
14 |
$491.96 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$44.54 |
| 92015 |
Determination of refractive state |
12 |
12 |
$39.88 |
| 1000F |
|
322 |
308 |
$0.00 |
| 1036F |
|
114 |
104 |
$0.00 |