| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2011 |
Crisis intervention service, per 15 minutes |
5,293 |
1,456 |
$2.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
674 |
106 |
$28K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
898 |
173 |
$24K |
| 97032 |
|
1,555 |
463 |
$19K |
| 95044 |
|
54 |
54 |
$16K |
| Q3014 |
Telehealth originating site facility fee |
758 |
80 |
$15K |
| 98960 |
|
275 |
57 |
$11K |
| 90876 |
|
158 |
70 |
$11K |
| 97535 |
Self-care/home management training, each 15 minutes |
662 |
290 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
659 |
291 |
$8K |
| 97016 |
|
1,034 |
274 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
39 |
$4K |
| 95816 |
|
32 |
31 |
$3K |
| 97026 |
|
833 |
313 |
$2K |
| 99386 |
|
14 |
13 |
$1K |
| 92652 |
|
32 |
31 |
$720.00 |
| 99070 |
|
48 |
15 |
$666.50 |
| 96132 |
|
33 |
31 |
$450.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$431.08 |
| 97024 |
|
141 |
103 |
$396.67 |
| 96136 |
|
32 |
31 |
$367.47 |
| 96137 |
|
31 |
30 |
$352.48 |
| 90901 |
|
29 |
12 |
$350.64 |
| 95930 |
|
32 |
31 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
207 |
66 |
$0.00 |
| 95957 |
|
32 |
31 |
$0.00 |