| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,406 |
1,200 |
$34K |
| Q3014 |
Telehealth originating site facility fee |
2,349 |
1,897 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
327 |
$18K |
| 99205 |
Prolong outpt/office vis |
46 |
33 |
$4K |
| 80305 |
|
173 |
120 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
19 |
$1K |
| H0049 |
Alcohol and/or drug screening |
20 |
14 |
$353.50 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
13 |
$129.86 |