| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,233 |
1,049 |
$57K |
| Q3014 |
Telehealth originating site facility fee |
1,415 |
1,179 |
$25K |
| 80305 |
|
580 |
506 |
$3K |
| 96127 |
|
361 |
304 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
30 |
$1K |
| 81025 |
|
119 |
107 |
$637.14 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
40 |
31 |
$182.07 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
14 |
14 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |
| 99408 |
|
16 |
15 |
$0.00 |