| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
53,305 |
42,170 |
$3.39M |
| 99493 |
|
16,856 |
16,403 |
$1.71M |
| H0015 |
Alcohol and/or drug services |
2,149 |
238 |
$682K |
| T1016 |
Case management |
4,555 |
1,459 |
$416K |
| 99204 |
|
4,272 |
4,124 |
$380K |
| 90833 |
|
7,134 |
5,748 |
$373K |
| 99492 |
|
3,281 |
3,235 |
$360K |
| 90791 |
|
2,523 |
2,480 |
$351K |
| 99213 |
|
7,446 |
6,597 |
$342K |
| 99215 |
Prolong outpt/office vis |
2,393 |
2,088 |
$209K |
| 80305 |
|
20,896 |
9,978 |
$169K |
| H2014 |
Skills train and dev, 15 min |
1,050 |
334 |
$70K |
| 99203 |
|
866 |
822 |
$55K |
| 87426 |
|
2,195 |
1,901 |
$48K |
| 99454 |
|
1,310 |
1,282 |
$45K |
| H0004 |
Alcohol and/or drug services |
615 |
208 |
$45K |
| 99457 |
|
1,328 |
1,276 |
$37K |
| 90792 |
|
226 |
219 |
$33K |
| 99205 |
Prolong outpt/office vis |
273 |
265 |
$29K |
| 87804 |
|
2,046 |
1,613 |
$25K |
| 99494 |
|
576 |
542 |
$22K |
| 99484 |
|
621 |
615 |
$19K |
| 99401 |
|
652 |
618 |
$18K |
| 99212 |
|
540 |
389 |
$18K |
| 99396 |
|
213 |
205 |
$17K |
| 96127 |
|
5,098 |
4,362 |
$15K |
| 96372 |
|
1,297 |
1,107 |
$14K |
| 93000 |
|
1,286 |
1,203 |
$14K |
| H0038 |
Self-help/peer svc per 15min |
67 |
51 |
$11K |
| 96132 |
|
107 |
107 |
$10K |
| 94060 |
|
190 |
182 |
$8K |
| 99395 |
|
86 |
77 |
$6K |
| 99458 |
|
279 |
246 |
$6K |
| 36415 |
|
2,385 |
2,204 |
$6K |
| 99442 |
|
121 |
110 |
$5K |
| 87880 |
|
343 |
330 |
$4K |
| 99385 |
|
38 |
37 |
$3K |
| 0031A |
|
90 |
88 |
$3K |
| 94200 |
|
188 |
182 |
$3K |
| 95923 |
|
32 |
32 |
$3K |
| 96138 |
|
101 |
101 |
$3K |
| 99386 |
|
25 |
25 |
$3K |
| 87428 |
|
148 |
132 |
$2K |
| 99490 |
Ccm add 20min |
697 |
678 |
$2K |
| 95921 |
|
31 |
31 |
$2K |
| 99441 |
|
50 |
44 |
$2K |
| 95250 |
|
13 |
12 |
$2K |
| 99211 |
|
123 |
111 |
$2K |
| 86580 |
|
194 |
193 |
$1K |
| 99453 |
|
128 |
125 |
$1K |
| 90471 |
|
66 |
66 |
$1K |
| 81025 |
|
174 |
164 |
$1K |
| 90756 |
|
71 |
64 |
$1K |
| 93922 |
|
13 |
13 |
$829.74 |
| 81002 |
|
411 |
362 |
$816.09 |
| G3002 |
Chronic pain mgmt 30 mins |
406 |
350 |
$604.74 |
| 99000 |
|
347 |
292 |
$185.30 |
| 98960 |
|
368 |
311 |
$116.45 |
| 99173 |
|
32 |
30 |
$70.19 |
| 99406 |
|
514 |
402 |
$55.33 |
| 94760 |
|
18 |
17 |
$42.84 |
| 99001 |
|
60 |
56 |
$33.06 |
| J1885 |
Ketorolac tromethamine inj |
15 |
12 |
$15.13 |
| J1100 |
Dexamethasone sodium phos |
28 |
27 |
$2.27 |
| G8427 |
Docrev cur meds by elig clin |
3,113 |
2,753 |
$0.08 |
| G8483 |
Flu imm no admin doc rea |
1,039 |
1,002 |
$0.06 |
| 1159F |
|
355 |
286 |
$0.02 |
| G8420 |
Calc bmi norm parameters |
237 |
223 |
$0.02 |
| G8417 |
Calc bmi abv up param f/u |
650 |
615 |
$0.01 |
| G9902 |
Pt scrn tbco and id as user |
441 |
413 |
$0.01 |
| 91303 |
|
31 |
31 |
$0.01 |
| 1160F |
|
279 |
223 |
$0.00 |
| T1017 |
Targeted case management |
68 |
13 |
$0.00 |
| 3078F |
|
42 |
35 |
$0.00 |
| 90832 |
|
37 |
33 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
109 |
108 |
$0.00 |
| 99408 |
|
145 |
135 |
$0.00 |
| G8482 |
Flu immunize order/admin |
14 |
13 |
$0.00 |
| S0215 |
Nonemerg transp mileage |
50 |
13 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
864 |
820 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
333 |
316 |
$0.00 |
| G2197 |
Screen hlthy etoh use |
339 |
331 |
$0.00 |
| 3074F |
|
69 |
54 |
$0.00 |
| 3079F |
|
68 |
59 |
$0.00 |
| G9717 |
Doc pt dx bipol |
26 |
26 |
$0.00 |
| 1126F |
|
165 |
145 |
$0.00 |
| G9459 |
Tob non-user |
43 |
43 |
$0.00 |
| 1125F |
|
414 |
338 |
$0.00 |