| Code | Description | Claims | Beneficiaries | Total Paid |
| Q3014 |
Telehealth originating site facility fee |
2,036 |
1,796 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
995 |
853 |
$33K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
315 |
278 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
196 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
402 |
395 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$1K |