| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,173 |
6,048 |
$768K |
| 99493 |
|
3,633 |
2,532 |
$211K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
8,757 |
4,303 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,084 |
2,260 |
$157K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,041 |
1,336 |
$83K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
621 |
461 |
$57K |
| 99199 |
Unlisted special service, procedure or report |
8,629 |
4,908 |
$54K |
| 90836 |
|
723 |
449 |
$28K |
| 99401 |
|
1,316 |
828 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,019 |
961 |
$19K |
| 99492 |
|
113 |
110 |
$12K |
| 93923 |
|
149 |
108 |
$10K |
| 99487 |
Ccm add 20min |
476 |
374 |
$3K |
| 94060 |
|
143 |
96 |
$3K |
| 99407 |
|
261 |
131 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
391 |
159 |
$3K |
| 80305 |
|
182 |
130 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
65 |
$2K |
| 93000 |
|
142 |
101 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
183 |
55 |
$948.36 |
| 99349 |
|
19 |
14 |
$768.88 |
| 93040 |
|
125 |
86 |
$497.89 |
| 99201 |
|
18 |
17 |
$492.94 |
| 81002 |
|
262 |
124 |
$463.40 |
| 90756 |
|
37 |
13 |
$269.90 |
| 94010 |
|
149 |
99 |
$255.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
14 |
$119.70 |
| 1126F |
|
46 |
42 |
$0.10 |
| 1159F |
|
103 |
91 |
$0.04 |
| 1160F |
|
108 |
89 |
$0.04 |
| 99000 |
|
33 |
22 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
38 |
31 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
21 |
21 |
$0.00 |