| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
922 |
708 |
$84K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
758 |
582 |
$31K |
| 99205 |
Prolong outpt/office vis |
121 |
115 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
328 |
229 |
$13K |
| Q3014 |
Telehealth originating site facility fee |
14 |
12 |
$290.88 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
14 |
14 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
254 |
179 |
$0.00 |