| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
578 |
475 |
$26K |
| Q3014 |
Telehealth originating site facility fee |
1,040 |
901 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
285 |
257 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
13 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
16 |
$808.76 |