| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,034 |
909 |
$35K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
694 |
572 |
$29K |
| Q3014 |
Telehealth originating site facility fee |
592 |
489 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
221 |
$6K |
| 87430 |
|
30 |
30 |
$139.86 |
| 99070 |
|
32 |
32 |
$13.98 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |