| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,540 |
3,223 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,440 |
2,104 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
331 |
303 |
$20K |
| 99215 |
Prolong outpt/office vis |
50 |
47 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
72 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
70 |
45 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
155 |
148 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
49 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
32 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
932 |
881 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
158 |
148 |
$2K |
| 99385 |
|
30 |
28 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
84 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
46 |
$693.70 |
| 90686 |
|
74 |
47 |
$570.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
26 |
$364.79 |
| 99406 |
|
23 |
21 |
$125.75 |
| 96127 |
|
71 |
38 |
$92.67 |
| 99072 |
|
48 |
40 |
$0.00 |