| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,298 |
3,225 |
$68K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,552 |
2,173 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
827 |
649 |
$7K |
| 96120 |
|
130 |
127 |
$1K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
153 |
142 |
$935.25 |
| 96136 |
|
116 |
83 |
$508.45 |
| 96103 |
|
85 |
83 |
$441.71 |
| 98925 |
|
59 |
38 |
$253.52 |
| 96102 |
|
31 |
31 |
$207.06 |
| 99441 |
|
14 |
13 |
$81.54 |
| 99408 |
|
14 |
12 |
$71.04 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
18 |
12 |
$21.25 |
| 96127 |
|
44 |
26 |
$15.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |