| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,301 |
3,922 |
$299K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,713 |
1,903 |
$159K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
526 |
517 |
$43K |
| T2023 |
Targeted case management; per month |
48 |
44 |
$15K |
| 95117 |
|
1,241 |
580 |
$15K |
| H0001 |
Alcohol and/or drug assessment |
147 |
128 |
$8K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
134 |
115 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
73 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
30 |
24 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
89 |
$3K |
| 94010 |
|
92 |
88 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
288 |
256 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$1K |
| 95024 |
|
16 |
12 |
$1K |
| 94060 |
|
16 |
14 |
$690.97 |
| 84703 |
|
75 |
39 |
$569.10 |
| 92567 |
|
17 |
13 |
$193.31 |
| Q3014 |
Telehealth originating site facility fee |
195 |
78 |
$11.04 |