| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,281 |
1,806 |
$220K |
| Q3014 |
Telehealth originating site facility fee |
1,421 |
1,192 |
$30K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
65 |
64 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$994.67 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
67 |
38 |
$672.30 |