| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99354 |
|
85 |
71 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
44 |
$1K |
| 96136 |
|
15 |
15 |
$489.84 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
15 |
15 |
$277.29 |
| 96160 |
|
15 |
15 |
$273.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$245.11 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$0.00 |