| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,396 |
10,000 |
$861K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,653 |
731 |
$166K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,594 |
2,151 |
$92K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
265 |
249 |
$30K |
| Q3014 |
Telehealth originating site facility fee |
1,397 |
952 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
101 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
211 |
165 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
133 |
$7K |
| 90785 |
|
243 |
205 |
$2K |
| S9999 |
Sales tax |
342 |
264 |
$0.00 |