| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
816 |
741 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
852 |
803 |
$59K |
| 90791 |
Psychiatric diagnostic evaluation |
157 |
135 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
75 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
58 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$3K |
| 20611 |
|
38 |
38 |
$3K |
| 99443 |
|
65 |
65 |
$3K |
| 80305 |
|
564 |
461 |
$2K |
| 99401 |
|
120 |
114 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
181 |
140 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
101 |
25 |
$1K |
| 99406 |
|
66 |
64 |
$885.57 |
| 69209 |
|
45 |
45 |
$492.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
46 |
$365.24 |
| 82948 |
|
206 |
206 |
$343.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$135.20 |
| 20553 |
|
277 |
255 |
$55.65 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
51 |
$11.61 |
| 99474 |
|
208 |
207 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
20 |
20 |
$0.00 |
| 94760 |
|
66 |
62 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
27 |
27 |
$0.00 |
| 98960 |
|
24 |
21 |
$0.00 |