| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
866 |
343 |
$145K |
| H0033 |
Oral medication administration, direct observation |
1,111 |
354 |
$123K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,032 |
952 |
$67K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
791 |
705 |
$42K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
699 |
666 |
$25K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
35 |
24 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
122 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
389 |
349 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
23 |
$287.21 |
| G9012 |
Other specified case management service not elsewhere classified |
143 |
71 |
$121.60 |