| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 97 | 140 | 130 | $220 | $568.5K |
| Q3014 | Telehealth originating site facility fee | 63 | 180 | 620 | $160 | $546.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 41 | 930 | 910 | $80 | $521.6K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 81 | 960 | 1,010 | $90 | $490K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 20 | 50 | $110 | $463.7K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 22 | 100 | 1,100 | $110 | $362K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 23 | 120 | 670 | $110 | $301.2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 57 | 380 | 220 | $160 | $273.9K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 24 | 120 | 430 | $110 | $205.4K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 271 | 320 | 220 | $110 | $146.2K |