| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
69 |
$4K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
79 |
79 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
24 |
$944.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$576.75 |
| Q3014 |
Telehealth originating site facility fee |
20 |
19 |
$238.47 |