| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,086 |
2,083 |
$200K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
114 |
113 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
518 |
516 |
$35K |
| 95811 |
|
29 |
27 |
$19K |
| 99443 |
|
200 |
200 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
172 |
71 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
54 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$3K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
80 |
12 |
$3K |
| 94010 |
|
87 |
87 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$2K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
617 |
78 |
$106.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
83 |
12 |
$83.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
80 |
12 |
$80.00 |
| 94760 |
|
134 |
134 |
$0.00 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
491 |
67 |
$0.00 |