| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,186 |
24,471 |
$11.45M |
| Q3014 |
Telehealth originating site facility fee |
16,182 |
14,853 |
$8.38M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,215 |
1,143 |
$614K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,063 |
1,031 |
$390K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
406 |
388 |
$268K |
| A0425 |
Ground mileage, per statute mile |
1,031 |
815 |
$241K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
395 |
389 |
$232K |
| 90837 |
Psychotherapy, 53 minutes with patient |
540 |
372 |
$228K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,702 |
1,221 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
223 |
$94K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
312 |
236 |
$53K |
| 98968 |
|
47 |
38 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$18K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
214 |
178 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$16K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31 |
30 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$8K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
41 |
38 |
$8K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17 |
15 |
$5K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
16 |
12 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$0.00 |