| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,009 |
2,631 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,688 |
2,496 |
$91K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
941 |
853 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
72 |
70 |
$5K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 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 |
12 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$0.00 |