| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,261 |
12,134 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,537 |
4,345 |
$285K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,307 |
3,172 |
$270K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,465 |
1,260 |
$263K |
| 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 |
1,548 |
746 |
$250K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
797 |
692 |
$180K |
| 99199 |
Unlisted special service, procedure or report |
19,088 |
11,716 |
$109K |
| 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 |
1,434 |
1,334 |
$98K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
572 |
81 |
$75K |
| 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 |
745 |
687 |
$68K |
| 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 |
520 |
460 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
418 |
392 |
$60K |
| 99215 |
Prolong outpt/office vis |
380 |
288 |
$42K |
| H2022 |
Community-based wrap-around services, per diem |
179 |
13 |
$42K |
| 90834 |
Psychotherapy, 45 minutes with patient |
275 |
178 |
$17K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
640 |
373 |
$16K |
| Q3014 |
Telehealth originating site facility fee |
814 |
547 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,382 |
963 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
257 |
183 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
362 |
264 |
$6K |
| 93000 |
|
383 |
345 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,606 |
1,471 |
$3K |
| 99490 |
Ccm add 20min |
509 |
388 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
24 |
14 |
$2K |
| 96127 |
|
283 |
265 |
$1K |
| 99487 |
Ccm add 20min |
71 |
39 |
$646.02 |
| 90688 |
|
58 |
37 |
$310.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
24 |
$221.54 |
| 99406 |
|
41 |
41 |
$187.74 |
| 90836 |
|
51 |
48 |
$113.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
13 |
$108.34 |
| 81001 |
|
16 |
15 |
$36.27 |
| 97802 |
|
43 |
36 |
$0.00 |