| Code | Description | Claims | Beneficiaries | Total Paid |
| G9012 |
Other specified case management service not elsewhere classified |
1,352 |
1,351 |
$368K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,091 |
1,022 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
550 |
516 |
$27K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
602 |
479 |
$26K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
33 |
33 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$528.48 |
| 80305 |
|
15 |
15 |
$166.59 |