| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,587 |
16,874 |
$685K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,141 |
10,711 |
$264K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,730 |
3,606 |
$245K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,193 |
5,047 |
$214K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,768 |
881 |
$56K |
| 99222 |
Initial hospital care, per day, moderate complexity |
116 |
109 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
176 |
54 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
27 |
$792.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
32 |
$413.24 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$274.53 |
| Q3014 |
Telehealth originating site facility fee |
15 |
12 |
$81.80 |
| 87428 |
|
35 |
35 |
$26.29 |