| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
13,013 |
5,123 |
$1.57M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14,652 |
5,834 |
$525K |
| T2023 |
Targeted case management; per month |
1,878 |
1,420 |
$494K |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,227 |
4,311 |
$335K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,851 |
5,529 |
$293K |
| 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 |
1,001 |
736 |
$71K |
| 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 |
1,154 |
701 |
$67K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
1,117 |
1,052 |
$59K |
| H0038 |
Self-help/peer services, per 15 minutes |
2,686 |
926 |
$58K |
| 90834 |
Psychotherapy, 45 minutes with patient |
752 |
424 |
$29K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,594 |
1,327 |
$16K |
| 81025 |
|
2,523 |
2,102 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
199 |
187 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
277 |
175 |
$12K |
| 80305 |
|
837 |
344 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
76 |
63 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
94 |
75 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
173 |
$4K |