| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,664 |
8,199 |
$1.71M |
| 99402 |
|
8,229 |
1,963 |
$317K |
| 99403 |
|
5,540 |
2,732 |
$308K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,224 |
1,825 |
$275K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
1,954 |
749 |
$117K |
| 99404 |
|
1,434 |
723 |
$98K |
| 99484 |
|
4,874 |
3,510 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
996 |
306 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
376 |
375 |
$33K |
| 90832 |
Psychotherapy, 30 minutes with patient |
425 |
116 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
245 |
243 |
$19K |
| 99215 |
Prolong outpt/office vis |
89 |
61 |
$10K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
56 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
43 |
$6K |
| 99358 |
Prolong nursin fac eval 15m |
104 |
100 |
$4K |
| 99408 |
|
366 |
361 |
$4K |
| 99385 |
|
28 |
28 |
$2K |
| 80305 |
|
420 |
252 |
$2K |
| 96127 |
|
442 |
419 |
$944.97 |
| 93000 |
|
72 |
70 |
$916.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
63 |
63 |
$843.39 |
| 36415 |
Collection of venous blood by venipuncture |
735 |
719 |
$676.38 |
| 81002 |
|
279 |
277 |
$601.92 |
| 99354 |
|
18 |
18 |
$462.70 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
123 |
116 |
$411.80 |
| Q3014 |
Telehealth originating site facility fee |
21 |
18 |
$252.04 |
| 81003 |
|
142 |
140 |
$244.30 |
| 81015 |
|
70 |
69 |
$2.12 |