| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
4,081 |
1,667 |
$252K |
| Q3014 |
Telehealth originating site facility fee |
4,940 |
2,526 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,397 |
1,080 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
916 |
676 |
$35K |
| 99490 |
Ccm add 20min |
536 |
503 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
77 |
75 |
$7K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
352 |
277 |
$5K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
267 |
241 |
$5K |
| 99401 |
|
338 |
262 |
$4K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
27 |
12 |
$3K |
| 96156 |
|
48 |
47 |
$2K |
| 99243 |
|
83 |
64 |
$2K |
| 99407 |
|
282 |
151 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$696.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
31 |
$666.90 |
| 99443 |
|
29 |
27 |
$575.96 |
| 99406 |
|
148 |
92 |
$482.19 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$415.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$102.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$46.62 |
| 99454 |
|
34 |
28 |
$9.49 |
| 99457 |
|
145 |
124 |
$8.63 |
| 99458 |
|
73 |
62 |
$0.00 |
| 99408 |
|
29 |
29 |
$0.00 |
| 90863 |
|
68 |
66 |
$0.00 |
| 99453 |
|
68 |
55 |
$0.00 |
| 99091 |
|
20 |
16 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
15 |
15 |
$0.00 |