| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,160 |
916 |
$154K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,324 |
1,043 |
$100K |
| 96130 |
|
581 |
554 |
$78K |
| 99215 |
Prolong outpt/office vis |
219 |
164 |
$45K |
| 99205 |
Prolong outpt/office vis |
143 |
137 |
$35K |
| 99493 |
|
313 |
276 |
$23K |
| 96138 |
|
589 |
560 |
$21K |
| 90836 |
|
140 |
134 |
$14K |
| 80305 |
|
965 |
725 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
202 |
183 |
$4K |
| 99492 |
|
13 |
13 |
$1K |
| 96127 |
|
109 |
105 |
$456.11 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
507 |
394 |
$195.75 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
25 |
25 |
$0.24 |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
13 |
13 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
106 |
104 |
$0.00 |