| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
69 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
30 |
28 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
35 |
34 |
$546.70 |
| 96102 |
|
44 |
29 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
44 |
29 |
$0.00 |
| 96120 |
|
44 |
29 |
$0.00 |