| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,225 |
2,309 |
$80K |
| Q3014 |
Telehealth originating site facility fee |
5,626 |
3,900 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,617 |
1,186 |
$54K |
| 99205 |
Prolong outpt/office vis |
220 |
173 |
$17K |
| 80305 |
|
1,408 |
993 |
$9K |
| H0049 |
Alcohol and/or drug screening |
119 |
102 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$1K |
| 90836 |
|
64 |
33 |
$493.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
33 |
$482.72 |
| 99406 |
|
439 |
213 |
$404.97 |
| 96127 |
|
44 |
37 |
$95.76 |