| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
25,483 |
13,817 |
$3.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,384 |
6,102 |
$751K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,255 |
4,465 |
$338K |
| 82075 |
|
10,718 |
7,917 |
$271K |
| 99205 |
Prolong outpt/office vis |
158 |
151 |
$27K |
| 81025 |
|
2,442 |
938 |
$19K |
| 99215 |
Prolong outpt/office vis |
80 |
77 |
$11K |
| Q3014 |
Telehealth originating site facility fee |
80 |
71 |
$2K |
| 90674 |
|
17 |
17 |
$447.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$362.44 |