| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,698 |
1,687 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,888 |
1,259 |
$42K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
313 |
145 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
77 |
61 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
118 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
86 |
25 |
$232.80 |
| 1000F |
|
2,522 |
1,406 |
$50.44 |
| 3008F |
|
3,067 |
1,781 |
$0.02 |
| 2001F |
|
3,150 |
1,868 |
$0.00 |
| 1220F |
|
947 |
544 |
$0.00 |
| 1126F |
|
2,559 |
1,375 |
$0.00 |
| 2000F |
|
304 |
169 |
$0.00 |
| 3074F |
|
131 |
73 |
$0.00 |
| 4000F |
|
28 |
13 |
$0.00 |
| 3078F |
|
113 |
66 |
$0.00 |