| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,006 |
1,911 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
840 |
$58K |
| 99490 |
Ccm add 20min |
2,013 |
2,013 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$14K |
| 95886 |
|
109 |
108 |
$12K |
| 64493 |
|
62 |
37 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
154 |
154 |
$5K |
| 95911 |
|
38 |
38 |
$5K |
| 64494 |
|
62 |
37 |
$3K |
| 64495 |
|
43 |
24 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
82 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
152 |
152 |
$592.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
72 |
69 |
$449.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
39 |
$222.48 |