| Code | Description | Claims | Beneficiaries | Total Paid |
| G9012 |
Other specified case management service not elsewhere classified |
258 |
258 |
$70K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
134 |
134 |
$22K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
67 |
65 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
16 |
16 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$838.04 |