| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
150 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
168 |
152 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
286 |
250 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
32 |
30 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$522.17 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
42 |
34 |
$369.72 |
| 3725F |
|
38 |
31 |
$0.00 |