| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
49,212 |
38,367 |
$6.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,501 |
18,068 |
$144K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,711 |
1,577 |
$70K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
1,760 |
1,675 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,446 |
1,351 |
$15K |
| 90686 |
|
1,288 |
1,256 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
989 |
898 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
100 |
$2K |
| 90620 |
|
29 |
29 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,926 |
6,347 |
$2K |
| 0124A |
|
30 |
30 |
$2K |
| 0004A |
|
21 |
21 |
$1K |
| 90651 |
|
43 |
43 |
$1K |
| 0054A |
|
18 |
18 |
$1K |
| 0071A |
|
18 |
18 |
$1K |
| 81025 |
|
401 |
384 |
$1K |
| 0072A |
|
12 |
12 |
$804.00 |
| 59425 |
|
13 |
12 |
$786.24 |
| 92551 |
|
931 |
926 |
$758.88 |
| 90832 |
Psychotherapy, 30 minutes with patient |
157 |
102 |
$734.35 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
209 |
208 |
$570.05 |
| 90688 |
|
54 |
54 |
$486.00 |
| 90715 |
|
27 |
27 |
$482.38 |
| J3490 |
Unclassified drugs |
14 |
13 |
$475.00 |
| 90734 |
|
28 |
28 |
$371.09 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
215 |
215 |
$274.15 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$205.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
76 |
$177.52 |
| 81003 |
|
34 |
26 |
$37.83 |
| 018 |
Dolasetron 50 mg |
1,245 |
1,059 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
34 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
19 |
14 |
$0.00 |