| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,483 |
4,888 |
$107K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,038 |
358 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,032 |
889 |
$8K |
| 99443 |
|
1,100 |
941 |
$7K |
| 99491 |
Ccm add 20min |
1,790 |
1,756 |
$2K |
| 99349 |
|
174 |
150 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
32 |
32 |
$1K |
| 99215 |
Prolong outpt/office vis |
78 |
70 |
$906.94 |
| 99354 |
|
192 |
185 |
$562.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
44 |
$385.18 |
| 99442 |
|
90 |
88 |
$332.17 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
197 |
191 |
$192.62 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$180.70 |
| 99350 |
Prolong home eval add 15m |
152 |
96 |
$85.00 |
| 90686 |
|
16 |
16 |
$35.96 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$4.02 |
| 99000 |
|
13 |
13 |
$0.00 |
| 99496 |
|
15 |
13 |
$0.00 |