| Code | Description | Claims | Beneficiaries | Total Paid |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
69 |
60 |
$0.00 |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
37 |
36 |
$0.00 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
185 |
177 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
15 |
14 |
$0.00 |