| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
256 |
$53K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
365 |
292 |
$21K |
| 99215 |
Prolong outpt/office vis |
91 |
85 |
$13K |
| 99205 |
Prolong outpt/office vis |
34 |
34 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
80 |
$2K |
| 80305 |
|
310 |
255 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
36 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
60 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
301 |
247 |
$0.00 |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
446 |
315 |
$0.00 |