| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90791 |
Psychiatric diagnostic evaluation |
362 |
306 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
533 |
426 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
281 |
260 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
108 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
122 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
112 |
63 |
$9K |
| 99215 |
Prolong outpt/office vis |
28 |
25 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
25 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$791.64 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
48 |
13 |
$775.84 |