| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,136 |
1,771 |
$137K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,627 |
3,024 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
629 |
533 |
$31K |
| 99205 |
Prolong outpt/office vis |
132 |
117 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
144 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
81 |
72 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
176 |
111 |
$6K |
| 99215 |
Prolong outpt/office vis |
58 |
48 |
$6K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
267 |
254 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
29 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36 |
13 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
24 |
14 |
$1K |
| 99417 |
Prolong home eval add 15m |
36 |
13 |
$188.17 |
| 3074F |
|
219 |
209 |
$0.00 |
| 3079F |
|
85 |
83 |
$0.00 |
| 3078F |
|
114 |
108 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |