| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,721 |
736 |
$22K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,260 |
567 |
$15K |
| Q3014 |
Telehealth originating site facility fee |
779 |
384 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
618 |
252 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
30 |
$797.44 |
| 90785 |
|
162 |
103 |
$647.41 |