| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,627 |
4,454 |
$277K |
| 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 |
513 |
507 |
$106K |
| 99490 |
Ccm add 20min |
1,209 |
1,209 |
$53K |
| 95886 |
|
232 |
219 |
$37K |
| 96138 |
|
955 |
942 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
575 |
559 |
$23K |
| 95911 |
|
95 |
91 |
$17K |
| 88356 |
|
14 |
14 |
$9K |
| 99442 |
|
244 |
244 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
97 |
95 |
$7K |
| 88360 |
|
14 |
14 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
54 |
$5K |
| 64483 |
|
32 |
24 |
$5K |
| 99443 |
|
102 |
99 |
$5K |
| 99000 |
|
2,045 |
1,992 |
$4K |
| 64635 |
|
15 |
14 |
$4K |
| 88319 |
|
14 |
14 |
$3K |
| 95924 |
|
19 |
19 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$3K |
| 88314 |
|
14 |
14 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14 |
14 |
$2K |
| 95913 |
|
13 |
12 |
$2K |
| 64636 |
|
15 |
14 |
$2K |
| 99406 |
|
147 |
145 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
81 |
77 |
$1K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
67 |
65 |
$790.87 |
| 96103 |
|
103 |
103 |
$569.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
75 |
$456.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$264.29 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
66 |
62 |
$100.44 |
| 97813 |
|
17 |
16 |
$69.50 |
| 97814 |
|
17 |
16 |
$69.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
29 |
$0.00 |