| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,441 |
6,025 |
$463K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,812 |
2,569 |
$349K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
237 |
226 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
56 |
56 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
69 |
49 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,963 |
7,955 |
$0.00 |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
264 |
36 |
$0.00 |