| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,396 |
2,076 |
$318K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,407 |
2,248 |
$220K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,350 |
1,050 |
$165K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,206 |
500 |
$117K |
| 99205 |
Prolong outpt/office vis |
416 |
384 |
$50K |
| Q3014 |
Telehealth originating site facility fee |
2,067 |
1,076 |
$46K |
| 99443 |
|
155 |
89 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
82 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,050 |
730 |
$8K |
| 99401 |
|
214 |
115 |
$7K |
| 99407 |
|
388 |
323 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
53 |
45 |
$5K |
| 99215 |
Prolong outpt/office vis |
18 |
17 |
$2K |
| 99442 |
|
28 |
24 |
$2K |
| 99408 |
|
207 |
160 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
22 |
19 |
$1K |
| 96127 |
|
376 |
328 |
$685.41 |