| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
37,077 |
29,914 |
$6.62M |
| 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 |
44,217 |
24,915 |
$4.93M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79,846 |
41,672 |
$4.24M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
66,127 |
33,235 |
$2.53M |
| 90832 |
Psychotherapy, 30 minutes with patient |
42,246 |
30,141 |
$1.53M |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
8,070 |
4,953 |
$1.26M |
| H2010 |
Comprehensive medication services, per 15 minutes |
7,235 |
3,187 |
$1.02M |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
5,321 |
2,618 |
$802K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,101 |
10,190 |
$612K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
38,581 |
25,330 |
$445K |
| 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 |
3,884 |
1,900 |
$389K |
| 99215 |
Prolong outpt/office vis |
2,979 |
1,744 |
$254K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
8,375 |
6,210 |
$227K |
| H0006 |
Alcohol and/or drug services; case management |
2,274 |
1,719 |
$222K |
| H0049 |
Alcohol and/or drug screening |
7,213 |
4,247 |
$137K |
| 80346 |
|
8,113 |
4,218 |
$135K |
| 80356 |
|
7,882 |
4,175 |
$131K |
| 99484 |
|
10,473 |
7,322 |
$124K |
| 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 |
3,221 |
2,027 |
$124K |
| 90791 |
Psychiatric diagnostic evaluation |
1,626 |
1,474 |
$122K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
8,069 |
4,094 |
$109K |
| 80355 |
|
7,912 |
4,279 |
$105K |
| 80323 |
|
7,760 |
4,176 |
$101K |
| 80363 |
|
7,293 |
4,102 |
$99K |
| 99406 |
|
16,278 |
9,859 |
$96K |
| 80348 |
|
8,730 |
4,399 |
$91K |
| 80325 |
|
7,081 |
4,046 |
$90K |
| 80359 |
|
7,864 |
4,145 |
$83K |
| 80349 |
|
7,876 |
4,202 |
$82K |
| 80371 |
|
7,792 |
4,175 |
$82K |
| 80350 |
|
7,754 |
4,174 |
$82K |
| 80354 |
|
7,689 |
4,111 |
$81K |
| 80372 |
|
7,685 |
4,112 |
$81K |
| 80373 |
|
7,686 |
4,112 |
$81K |
| 80367 |
|
7,666 |
4,099 |
$81K |
| 80365 |
|
7,607 |
4,100 |
$80K |
| 80345 |
|
7,017 |
4,045 |
$79K |
| 80361 |
|
7,341 |
4,108 |
$79K |
| 80366 |
|
7,191 |
4,092 |
$76K |
| 80368 |
|
7,163 |
4,087 |
$76K |
| 80369 |
|
7,149 |
4,085 |
$75K |
| 80337 |
|
7,016 |
4,046 |
$75K |
| 80334 |
|
7,013 |
4,045 |
$74K |
| 99490 |
Ccm add 20min |
3,887 |
2,799 |
$63K |
| 80353 |
|
7,741 |
4,173 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,717 |
1,306 |
$44K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,108 |
897 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
471 |
425 |
$36K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
233 |
214 |
$30K |
| 99408 |
|
3,015 |
1,844 |
$30K |
| 83992 |
|
7,753 |
4,174 |
$29K |
| 80358 |
|
7,574 |
4,192 |
$28K |
| 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 |
398 |
242 |
$24K |
| 80362 |
|
1,044 |
737 |
$13K |
| G2087 |
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month |
2,037 |
1,611 |
$13K |
| 99443 |
|
153 |
128 |
$12K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
587 |
480 |
$10K |
| 99205 |
Prolong outpt/office vis |
85 |
81 |
$9K |
| 99407 |
|
545 |
386 |
$9K |
| T2022 |
Case management, per month |
74 |
54 |
$7K |
| 80324 |
|
535 |
355 |
$6K |
| 99439 |
|
346 |
314 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
334 |
164 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
14 |
$1K |
| 99442 |
|
23 |
20 |
$864.24 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
275 |
179 |
$836.86 |
| 36415 |
Collection of venous blood by venipuncture |
594 |
477 |
$756.39 |
| 80306 |
|
59 |
42 |
$634.18 |
| 96127 |
|
567 |
509 |
$597.01 |
| 96160 |
|
328 |
238 |
$312.03 |
| 80332 |
|
20 |
20 |
$250.20 |
| 80335 |
|
20 |
20 |
$250.20 |
| 80360 |
|
19 |
19 |
$237.69 |
| H0032 |
Mental health service plan development by non-physician |
146 |
112 |
$210.27 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
28 |
12 |
$79.64 |
| H0038 |
Self-help/peer services, per 15 minutes |
1,418 |
1,085 |
$77.60 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
69 |
41 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
55 |
53 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
17 |
17 |
$0.00 |