| Code | Description | Claims | Beneficiaries | Total Paid |
| G9012 |
Other specified case management service not elsewhere classified |
659 |
659 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
812 |
726 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
215 |
$10K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
19 |
19 |
$3K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
66 |
56 |
$3K |
| 80305 |
|
18 |
15 |
$210.72 |