| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
150,888 |
12,101 |
$7.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,463 |
8,409 |
$2.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,882 |
6,214 |
$1.99M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
11,456 |
8,120 |
$1.79M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,709 |
966 |
$843K |
| D0140 |
Limited oral evaluation - problem focused |
1,349 |
1,271 |
$660K |
| D1110 |
Prophylaxis - adult |
1,193 |
1,153 |
$593K |
| D1120 |
Prophylaxis - child |
1,198 |
1,139 |
$575K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
6,878 |
3,416 |
$486K |
| D0120 |
Periodic oral evaluation - established patient |
552 |
534 |
$310K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
472 |
467 |
$195K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
406 |
358 |
$194K |
| H0038 |
Self-help/peer services, per 15 minutes |
2,407 |
1,547 |
$180K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
330 |
315 |
$166K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
627 |
598 |
$91K |
| 0012A |
|
522 |
493 |
$80K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
4,186 |
370 |
$78K |
| 0011A |
|
527 |
499 |
$77K |
| H0001 |
Alcohol and/or drug assessment |
445 |
408 |
$74K |
| 99215 |
Prolong outpt/office vis |
143 |
114 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
76 |
$38K |
| 90834 |
Psychotherapy, 45 minutes with patient |
84 |
50 |
$33K |
| S0215 |
Non-emergency transportation; mileage, per mile |
487 |
153 |
$21K |
| 0064A |
|
94 |
87 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
469 |
427 |
$15K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
400 |
379 |
$14K |
| H0006 |
Alcohol and/or drug services; case management |
552 |
400 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
83 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$6K |
| 0134A |
|
13 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
43 |
$2K |
| 80053 |
Comprehensive metabolic panel |
156 |
143 |
$863.99 |
| 90674 |
|
39 |
31 |
$312.79 |
| G0008 |
Administration of influenza virus vaccine |
19 |
12 |
$10.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
13 |
$6.80 |
| D8670 |
Periodic orthodontic treatment visit |
315 |
299 |
$0.00 |
| V2020 |
Frames, purchases |
12 |
12 |
$0.00 |