| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,454 |
5,800 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,095 |
1,048 |
$87K |
| 90837 |
Psychotherapy, 53 minutes with patient |
873 |
536 |
$70K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,377 |
582 |
$59K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
323 |
308 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
275 |
263 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
206 |
195 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
276 |
258 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
65 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
220 |
208 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$803.16 |
| Q3014 |
Telehealth originating site facility fee |
40 |
36 |
$656.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$588.09 |
| 96127 |
|
35 |
35 |
$98.01 |
| 96160 |
|
12 |
12 |
$26.16 |
| 3074F |
|
460 |
433 |
$7.45 |
| 3078F |
|
194 |
187 |
$6.61 |
| 1034F |
|
222 |
207 |
$0.67 |
| 3079F |
|
54 |
53 |
$0.24 |
| 3080F |
|
29 |
28 |
$0.11 |
| 1111F |
|
2,532 |
2,184 |
$0.00 |
| 1036F |
|
662 |
608 |
$0.00 |
| 4004F |
|
587 |
523 |
$0.00 |