| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
731 |
650 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
771 |
686 |
$14K |
| 99205 |
Prolong outpt/office vis |
145 |
137 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
290 |
262 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
481 |
441 |
$4K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
24 |
12 |
$719.20 |
| H0006 |
Alcohol and/or drug services; case management |
22 |
13 |
$703.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$404.32 |
| 90686 |
|
15 |
15 |
$245.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$194.77 |
| 93000 |
|
39 |
35 |
$124.82 |