| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,502 |
6,289 |
$341K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,589 |
3,254 |
$117K |
| 99223 |
Prolong inpt eval add15 m |
1,506 |
1,403 |
$91K |
| 99233 |
Prolong inpt eval add15 m |
2,694 |
1,114 |
$83K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,217 |
2,004 |
$74K |
| 99215 |
Prolong outpt/office vis |
1,138 |
314 |
$66K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,100 |
957 |
$42K |
| 99222 |
Initial hospital care, per day, moderate complexity |
369 |
324 |
$18K |
| 99417 |
Prolong home eval add 15m |
244 |
66 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
225 |
199 |
$13K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
450 |
397 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
108 |
$9K |
| 99205 |
Prolong outpt/office vis |
81 |
72 |
$7K |
| 99252 |
|
33 |
33 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
13 |
$1K |
| 99221 |
|
32 |
27 |
$863.74 |
| 96127 |
|
22 |
22 |
$28.46 |
| S0013 |
Esketamine, nasal spray, 1 mg |
81 |
24 |
$0.00 |
| 99367 |
|
17 |
16 |
$0.00 |