| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,758 |
1,536 |
$62K |
| 95886 |
|
522 |
441 |
$33K |
| 99215 |
Prolong outpt/office vis |
214 |
200 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
897 |
802 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,065 |
327 |
$15K |
| 99205 |
Prolong outpt/office vis |
86 |
81 |
$11K |
| 95913 |
|
39 |
38 |
$6K |
| 95816 |
|
44 |
41 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
124 |
117 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
331 |
241 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
757 |
672 |
$3K |
| 96160 |
|
2,567 |
815 |
$2K |
| 92083 |
|
27 |
27 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
14 |
$188.96 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
47 |
40 |
$0.00 |
| 99401 |
|
453 |
428 |
$0.00 |