| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
969 |
851 |
$48K |
| 90876 |
|
864 |
117 |
$26K |
| Q3014 |
Telehealth originating site facility fee |
839 |
116 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
809 |
103 |
$7K |
| 90785 |
|
950 |
149 |
$5K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
71 |
61 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
27 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$523.47 |
| 96116 |
|
18 |
17 |
$0.00 |