| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,226 |
1,065 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
595 |
528 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
723 |
610 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
103 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
155 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
486 |
373 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
277 |
227 |
$6K |
| 99401 |
|
194 |
183 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
118 |
107 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
55 |
54 |
$37.38 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |