| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,205 |
6,590 |
$270K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$2K |
| J3490 |
Unclassified drugs |
783 |
669 |
$792.95 |
| 80305 |
|
184 |
160 |
$562.72 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
816 |
685 |
$521.16 |
| 20552 |
|
55 |
51 |
$504.06 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
76 |
68 |
$154.20 |
| 93000 |
|
16 |
13 |
$33.18 |
| 95909 |
|
14 |
14 |
$0.00 |
| 99408 |
|
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
61 |
55 |
$0.00 |