| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,178 |
2,739 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,377 |
2,158 |
$71K |
| 90837 |
Psychotherapy, 53 minutes with patient |
396 |
224 |
$42K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
124 |
118 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
33 |
26 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$2K |
| 85018 |
|
289 |
273 |
$706.06 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
27 |
24 |
$516.07 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
13 |
$225.26 |
| 90686 |
|
12 |
12 |
$209.33 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
44 |
$111.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$69.72 |
| 1111F |
|
138 |
125 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |