| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50,856 |
39,100 |
$4.31M |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
21,202 |
14,852 |
$4.20M |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
2,407 |
2,274 |
$3.84M |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
993 |
949 |
$1.24M |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
731 |
701 |
$1.20M |
| 90837 |
Psychotherapy, 53 minutes with patient |
12,903 |
5,964 |
$1.14M |
| 99215 |
Prolong outpt/office vis |
8,520 |
6,838 |
$1.10M |
| 82075 |
|
41,641 |
31,027 |
$1.04M |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
4,594 |
3,955 |
$731K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,265 |
7,654 |
$548K |
| 80305 |
|
45,181 |
32,671 |
$540K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
12,830 |
10,285 |
$446K |
| 99205 |
Prolong outpt/office vis |
1,885 |
1,830 |
$320K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,963 |
1,855 |
$258K |
| 81025 |
|
19,936 |
15,021 |
$158K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
882 |
842 |
$117K |
| 99355 |
|
739 |
697 |
$101K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,623 |
764 |
$97K |
| 99354 |
|
813 |
760 |
$57K |
| 80362 |
|
3,085 |
2,571 |
$52K |
| 80345 |
|
3,086 |
2,570 |
$52K |
| 80356 |
|
3,086 |
2,571 |
$52K |
| 80349 |
|
3,086 |
2,571 |
$52K |
| 80324 |
|
3,086 |
2,570 |
$52K |
| 80358 |
|
3,086 |
2,571 |
$52K |
| 80354 |
|
3,086 |
2,571 |
$52K |
| 80365 |
|
3,085 |
2,571 |
$52K |
| 80369 |
|
3,084 |
2,570 |
$52K |
| 80346 |
|
3,086 |
2,570 |
$52K |
| 80321 |
|
3,087 |
2,572 |
$52K |
| 80361 |
|
3,084 |
2,571 |
$52K |
| 80348 |
|
3,086 |
2,570 |
$52K |
| 80373 |
|
3,084 |
2,570 |
$52K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,647 |
3,508 |
$50K |
| 80355 |
|
2,558 |
2,121 |
$43K |
| 80357 |
|
2,558 |
2,121 |
$43K |
| 80368 |
|
2,556 |
2,120 |
$43K |
| 80366 |
|
2,556 |
2,120 |
$43K |
| 80359 |
|
2,557 |
2,121 |
$43K |
| 80360 |
|
2,557 |
2,121 |
$43K |
| 80372 |
|
2,556 |
2,120 |
$43K |
| 99000 |
|
17,463 |
13,420 |
$35K |
| 90791 |
Psychiatric diagnostic evaluation |
246 |
237 |
$24K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,189 |
728 |
$24K |
| 99417 |
Prolong home eval add 15m |
321 |
311 |
$13K |
| 90863 |
|
877 |
391 |
$9K |
| 90785 |
|
2,103 |
1,476 |
$7K |
| 96127 |
|
1,105 |
886 |
$4K |
| T1017 |
Targeted case management, each 15 minutes |
44 |
36 |
$2K |
| 99406 |
|
124 |
116 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
19 |
12 |
$843.06 |
| H0032 |
Mental health service plan development by non-physician |
25 |
17 |
$823.37 |