| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2011 |
Crisis intervention service, per 15 minutes |
1,562 |
312 |
$772K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
890 |
751 |
$68K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,597 |
1,307 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
854 |
689 |
$36K |
| Q3014 |
Telehealth originating site facility fee |
1,502 |
1,284 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
22 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
18 |
$39.36 |
| 99000 |
|
64 |
35 |
$0.00 |