| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,123 |
3,473 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,057 |
1,758 |
$53K |
| 99215 |
Prolong outpt/office vis |
407 |
372 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
92 |
$6K |
| 99205 |
Prolong outpt/office vis |
25 |
24 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
253 |
240 |
$687.15 |