| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
12,180 |
12,049 |
$2.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,088 |
13,820 |
$1.34M |
| 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 |
15,387 |
10,036 |
$1.14M |
| 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 |
17,918 |
12,737 |
$1.07M |
| 99215 |
Prolong outpt/office vis |
10,647 |
7,720 |
$765K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
24,316 |
13,124 |
$662K |
| 80305 |
|
35,265 |
24,070 |
$349K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,195 |
3,447 |
$216K |
| 96127 |
|
37,245 |
25,346 |
$141K |
| 90791 |
Psychiatric diagnostic evaluation |
1,417 |
1,391 |
$140K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,214 |
983 |
$96K |
| 99205 |
Prolong outpt/office vis |
803 |
732 |
$80K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,112 |
830 |
$54K |
| 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 |
868 |
632 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
456 |
348 |
$14K |
| 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 |
421 |
325 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,216 |
1,177 |
$10K |
| 99407 |
|
1,092 |
934 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
54 |
$5K |
| 99406 |
|
1,096 |
873 |
$3K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
12 |
12 |
$945.00 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$236.84 |