| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,013 |
7,718 |
$648K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,072 |
981 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
500 |
408 |
$26K |
| Q3014 |
Telehealth originating site facility fee |
15 |
12 |
$90.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
21 |
$0.00 |