| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
640 |
599 |
$35K |
| 90832 |
Psychotherapy, 30 minutes with patient |
460 |
251 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
78 |
52 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
441 |
388 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
45 |
43 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
71 |
68 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
92 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
92 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
20 |
$480.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
17 |
$386.06 |
| 90686 |
|
12 |
12 |
$0.00 |
| 90715 |
|
30 |
29 |
$0.00 |
| 90734 |
|
31 |
30 |
$0.00 |