| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
96 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
230 |
164 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
148 |
116 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
56 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
495 |
234 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
41 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
29 |
$937.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
15 |
$327.32 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$303.85 |
| 99406 |
|
17 |
14 |
$133.49 |
| 94760 |
|
67 |
48 |
$41.41 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
18 |
15 |
$38.40 |
| 99072 |
|
407 |
315 |
$0.00 |
| 99173 |
|
14 |
12 |
$0.00 |
| 99000 |
|
407 |
315 |
$0.00 |