| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,642 |
3,182 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,855 |
2,503 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
361 |
333 |
$27K |
| 99401 |
|
707 |
619 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
39 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
419 |
376 |
$2K |
| 96127 |
|
392 |
365 |
$2K |
| 99406 |
|
85 |
76 |
$763.22 |
| 99497 |
|
19 |
15 |
$492.12 |
| 3077F |
|
558 |
458 |
$35.63 |
| 3074F |
|
1,465 |
1,221 |
$3.02 |
| 3078F |
|
1,722 |
1,420 |
$2.68 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,354 |
1,094 |
$1.10 |
| 3079F |
|
581 |
479 |
$0.93 |
| 3075F |
|
307 |
268 |
$0.14 |
| 3080F |
|
156 |
142 |
$0.06 |
| 1123F |
|
19 |
15 |
$0.00 |
| 1158F |
|
17 |
14 |
$0.00 |
| 3725F |
|
424 |
396 |
$0.00 |