| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,883 |
2,411 |
$210K |
| H0031 |
Mental health assessment, by non-physician |
537 |
534 |
$114K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,764 |
758 |
$101K |
| T1016 |
Case management, each 15 minutes |
2,949 |
1,698 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
702 |
645 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
284 |
283 |
$27K |
| H2014 |
Skills training and development, per 15 minutes |
316 |
139 |
$14K |
| H2011 |
Crisis intervention service, per 15 minutes |
221 |
209 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
443 |
388 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
48 |
13 |
$7K |
| 80305 |
|
354 |
253 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
54 |
$3K |
| 99442 |
|
34 |
30 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
81 |
$3K |
| S0215 |
Non-emergency transportation; mileage, per mile |
46 |
38 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
42 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
392 |
290 |
$2K |
| 0011A |
|
55 |
55 |
$1K |
| 0012A |
|
17 |
17 |
$451.00 |
| 90662 |
|
16 |
16 |
$235.86 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
47 |
39 |
$169.25 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
97 |
92 |
$79.38 |
| 96127 |
|
13 |
13 |
$58.02 |
| 96160 |
|
16 |
15 |
$42.59 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$25.62 |
| 3008F |
|
155 |
140 |
$0.00 |
| 3074F |
|
90 |
87 |
$0.00 |
| 3078F |
|
74 |
69 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |