| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163,162 |
120,325 |
$8.47M |
| G9012 |
Other specified case management service not elsewhere classified |
25,701 |
25,575 |
$6.83M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,980 |
50,702 |
$2.10M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
11,288 |
5,925 |
$689K |
| 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 |
3,167 |
2,650 |
$198K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
944 |
787 |
$67K |
| 99340 |
|
341 |
319 |
$48K |
| 90834 |
Psychotherapy, 45 minutes with patient |
649 |
387 |
$48K |
| T2023 |
Targeted case management; per month |
441 |
441 |
$44K |
| G9002 |
Coordinated care fee, maintenance rate |
246 |
243 |
$36K |
| 90832 |
Psychotherapy, 30 minutes with patient |
881 |
649 |
$31K |
| 81025 |
|
5,182 |
4,821 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,705 |
1,618 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
212 |
143 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
272 |
253 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
102 |
$3K |
| T1016 |
Case management, each 15 minutes |
126 |
108 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
24 |
24 |
$690.69 |
| 99406 |
|
65 |
53 |
$427.50 |
| H2015 |
Comprehensive community support services, per 15 minutes |
326 |
167 |
$360.00 |
| 87340 |
|
12 |
12 |
$171.49 |
| H0038 |
Self-help/peer services, per 15 minutes |
121 |
98 |
$9.00 |
| 99205 |
Prolong outpt/office vis |
30 |
14 |
$0.00 |