| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,090 |
5,600 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,124 |
3,429 |
$90K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,507 |
2,040 |
$30K |
| 64635 |
|
101 |
71 |
$28K |
| 96131 |
|
171 |
133 |
$13K |
| 64493 |
|
125 |
79 |
$9K |
| 96130 |
|
168 |
134 |
$9K |
| 99205 |
Prolong outpt/office vis |
40 |
40 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
309 |
210 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
38 |
$3K |
| 80305 |
|
538 |
362 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
48 |
$971.76 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$922.86 |
| 64636 |
|
100 |
44 |
$244.78 |
| H0001 |
Alcohol and/or drug assessment |
19 |
17 |
$157.98 |
| 96136 |
|
146 |
121 |
$9.87 |
| 96137 |
|
144 |
119 |
$8.89 |
| 64494 |
|
69 |
31 |
$0.00 |
| 64495 |
|
21 |
16 |
$0.00 |