| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,004 |
3,106 |
$1.12M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,499 |
1,057 |
$536K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
4,014 |
1,821 |
$114K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
593 |
410 |
$95K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
8,230 |
2,542 |
$39K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
46 |
43 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
313 |
305 |
$27K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
689 |
250 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
7,014 |
5,702 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
663 |
548 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,534 |
1,269 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
50 |
43 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,920 |
1,650 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,042 |
737 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,580 |
1,466 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
43 |
40 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,200 |
1,016 |
$5K |
| 90686 |
|
315 |
298 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
69 |
66 |
$3K |
| H0032 |
Mental health service plan development by non-physician |
29 |
28 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$1K |
| 87631 |
|
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
937 |
623 |
$966.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
55 |
$876.20 |
| 90670 |
|
69 |
63 |
$856.44 |
| H0006 |
Alcohol and/or drug services; case management |
18 |
13 |
$855.54 |
| 90651 |
|
25 |
25 |
$804.46 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
70 |
67 |
$549.69 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$451.13 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$290.29 |
| A9270 |
Non-covered item or service |
210 |
79 |
$256.64 |
| 80061 |
Lipid panel |
28 |
28 |
$243.62 |
| 83735 |
|
81 |
69 |
$239.88 |
| T1016 |
Case management, each 15 minutes |
427 |
229 |
$238.88 |
| 80305 |
|
30 |
26 |
$210.30 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
18 |
13 |
$193.20 |
| 90734 |
|
20 |
19 |
$87.04 |
| 81002 |
|
45 |
36 |
$78.08 |
| 87070 |
|
13 |
13 |
$54.27 |
| 81001 |
|
25 |
24 |
$35.52 |
| T1006 |
Alcohol and/or substance abuse services, family/couple counseling |
158 |
80 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
57 |
12 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
234 |
88 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
60 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
33 |
14 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
26 |
13 |
$0.00 |