| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
633 |
626 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,127 |
1,059 |
$12K |
| 00630 |
|
140 |
140 |
$9K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,351 |
1,264 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
14 |
$3K |
| 27096 |
|
29 |
24 |
$2K |
| 77003 |
|
142 |
137 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
20 |
20 |
$2K |
| 96127 |
|
1,817 |
1,710 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
154 |
154 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
99 |
98 |
$801.28 |
| 93000 |
|
248 |
247 |
$720.39 |
| 93040 |
|
43 |
42 |
$438.89 |
| 99152 |
|
38 |
38 |
$390.93 |
| G2080 |
Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
765 |
731 |
$375.00 |
| 99408 |
|
111 |
109 |
$109.34 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$32.28 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
94 |
$19.23 |
| 99199 |
Unlisted special service, procedure or report |
452 |
152 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
32 |
30 |
$0.00 |