| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,045 |
4,633 |
$265K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,391 |
3,666 |
$128K |
| 90834 |
Psychotherapy, 45 minutes with patient |
867 |
579 |
$72K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,093 |
695 |
$51K |
| 90837 |
Psychotherapy, 53 minutes with patient |
461 |
316 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
449 |
236 |
$6K |
| 90686 |
|
189 |
173 |
$3K |
| D1206 |
Topical application of fluoride varnish |
247 |
139 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,161 |
1,838 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
28 |
27 |
$2K |
| D0603 |
|
190 |
108 |
$2K |
| D1330 |
|
429 |
253 |
$2K |
| 99215 |
Prolong outpt/office vis |
20 |
16 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
119 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
62 |
54 |
$2K |
| 99442 |
|
170 |
148 |
$1K |
| D0191 |
|
146 |
85 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
98 |
56 |
$825.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
548 |
484 |
$765.52 |
| 0011A |
|
17 |
17 |
$656.00 |
| 96127 |
|
214 |
180 |
$261.54 |
| 99406 |
|
16 |
15 |
$166.95 |
| D0190 |
|
13 |
12 |
$146.37 |
| 90674 |
|
14 |
13 |
$144.00 |
| 99173 |
|
13 |
12 |
$28.09 |
| 98960 |
|
36 |
25 |
$27.75 |
| 91301 |
|
18 |
18 |
$0.04 |
| 3008F |
|
107 |
95 |
$0.00 |
| 3074F |
|
62 |
59 |
$0.00 |
| 1036F |
|
17 |
12 |
$0.00 |
| 3075F |
|
22 |
16 |
$0.00 |
| 3078F |
|
143 |
131 |
$0.00 |
| 1159F |
|
40 |
34 |
$0.00 |
| 1160F |
|
40 |
34 |
$0.00 |
| 3725F |
|
16 |
13 |
$0.00 |