| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
334 |
334 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
487 |
379 |
$38K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
419 |
319 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
258 |
$14K |
| 80305 |
|
465 |
358 |
$6K |
| 99406 |
|
145 |
121 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
26 |
$724.74 |