| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,931 |
2,419 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,629 |
1,401 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
393 |
276 |
$5.33 |
| 1159F |
|
1,161 |
859 |
$0.00 |
| 3078F |
|
476 |
375 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
62 |
55 |
$0.00 |
| 3079F |
|
258 |
178 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
755 |
583 |
$0.00 |
| 3074F |
|
442 |
333 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
866 |
639 |
$0.00 |
| 3075F |
|
39 |
17 |
$0.00 |