| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0017 |
Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
2,700 |
126 |
$629K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,687 |
3,955 |
$157K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,316 |
5,227 |
$154K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,215 |
53 |
$72K |
| 80305 |
|
475 |
401 |
$35K |
| 86580 |
|
875 |
642 |
$27K |
| 90791 |
Psychiatric diagnostic evaluation |
408 |
297 |
$13K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
77 |
71 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,038 |
691 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
83 |
72 |
$7K |
| 80074 |
|
27 |
24 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
111 |
69 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15 |
12 |
$4K |
| 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 |
13 |
13 |
$3K |
| 86592 |
|
44 |
40 |
$2K |
| 86780 |
|
63 |
56 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34 |
26 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
34 |
$1K |
| 90686 |
|
23 |
22 |
$1K |
| 86695 |
|
27 |
25 |
$1K |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$1K |
| 86696 |
|
28 |
25 |
$1K |
| 0011A |
|
21 |
20 |
$910.14 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
13 |
$820.80 |
| 0012A |
|
16 |
16 |
$747.57 |
| 81025 |
|
14 |
12 |
$423.16 |
| 90656 |
|
13 |
13 |
$191.01 |