| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,412 |
2,051 |
$169K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
299 |
212 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
871 |
844 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
406 |
198 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
31 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
29 |
16 |
$625.00 |