| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
497,524 |
291,542 |
$36.20M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
428,309 |
253,335 |
$22.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272,533 |
182,358 |
$14.04M |
| G0480 |
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; 1-7 drug class(es), including metabolite(s) if performed |
87,560 |
70,218 |
$4.23M |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,213 |
7,400 |
$1.10M |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,788 |
9,526 |
$598K |
| Q3014 |
Telehealth originating site facility fee |
12,608 |
8,653 |
$193K |
| 90791 |
Psychiatric diagnostic evaluation |
1,482 |
1,359 |
$147K |
| 81025 |
|
33,005 |
23,443 |
$147K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,369 |
4,293 |
$145K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,165 |
1,467 |
$70K |
| 90834 |
Psychotherapy, 45 minutes with patient |
944 |
812 |
$59K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,068 |
2,498 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
803 |
709 |
$47K |
| 86803 |
|
3,551 |
2,901 |
$36K |
| 99406 |
|
4,976 |
3,340 |
$30K |
| 87340 |
|
3,535 |
2,898 |
$25K |
| 99484 |
|
1,280 |
788 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
241 |
204 |
$7K |
| 99215 |
Prolong outpt/office vis |
50 |
41 |
$4K |
| 80076 |
|
1,130 |
686 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
38 |
30 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
13 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
405 |
262 |
$1K |
| T1016 |
Case management, each 15 minutes |
2,246 |
1,070 |
$838.92 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
26 |
25 |
$446.94 |
| 86704 |
|
14 |
12 |
$168.70 |
| 86706 |
|
12 |
12 |
$129.66 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$45.00 |