| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,394 |
2,705 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
239 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
152 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
532 |
382 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
24 |
$1K |
| 99173 |
|
337 |
274 |
$894.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
55 |
$703.00 |
| 90688 |
|
108 |
94 |
$664.00 |
| 90649 |
|
59 |
54 |
$658.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
12 |
$560.00 |
| 81002 |
|
204 |
178 |
$512.26 |
| 99442 |
|
12 |
12 |
$453.32 |
| 80061 |
Lipid panel |
39 |
33 |
$414.00 |
| 92551 |
|
120 |
98 |
$400.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
28 |
$297.00 |
| 90620 |
|
13 |
13 |
$237.90 |
| 85018 |
|
251 |
222 |
$87.00 |
| 96127 |
|
16 |
16 |
$49.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
217 |
187 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
303 |
110 |
$0.00 |
| H0040 |
Assertive community treatment program, per diem |
2,242 |
66 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
818 |
513 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
1,457 |
77 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
45 |
37 |
$0.00 |
| H0034 |
Medication training and support, per 15 minutes |
202 |
174 |
$0.00 |
| T2002 |
Non-emergency transportation; per diem |
580 |
104 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
150 |
107 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
53 |
39 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
91 |
58 |
$0.00 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
27 |
14 |
$0.00 |