| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111,531 |
79,199 |
$4.51M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
80,819 |
54,900 |
$3.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,222 |
33,259 |
$1.52M |
| 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 |
20,709 |
13,875 |
$970K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,458 |
1,042 |
$142K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,789 |
3,243 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,569 |
1,786 |
$68K |
| 99215 |
Prolong outpt/office vis |
516 |
423 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,256 |
1,170 |
$15K |
| 96127 |
|
2,302 |
1,895 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
124 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,318 |
1,158 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
111 |
$7K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
67 |
12 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
163 |
121 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
324 |
146 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
317 |
268 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
49 |
29 |
$3K |
| 99442 |
|
479 |
355 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
18 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
28 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
183 |
151 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
240 |
213 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$615.24 |
| 99441 |
|
74 |
61 |
$568.64 |
| 90688 |
|
21 |
18 |
$409.83 |
| 81003 |
|
210 |
205 |
$338.35 |
| 96160 |
|
177 |
147 |
$260.68 |
| 0072A |
|
13 |
12 |
$242.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
19 |
14 |
$95.14 |
| 99173 |
|
20 |
14 |
$61.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
36 |
$59.70 |
| 81002 |
|
15 |
15 |
$35.10 |
| 90686 |
|
114 |
111 |
$17.03 |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
66 |
64 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 91307 |
|
16 |
14 |
$0.00 |