| Code | Description | Claims | Beneficiaries | Total Paid |
| 95911 |
|
814 |
812 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,039 |
1,710 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,385 |
1,312 |
$176K |
| 95886 |
|
815 |
813 |
$170K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
967 |
965 |
$170K |
| 95816 |
|
350 |
349 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
885 |
884 |
$105K |
| H0001 |
Alcohol and/or drug assessment |
42 |
41 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
42 |
41 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
74 |
73 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
42 |
41 |
$0.00 |