| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,698 |
4,321 |
$191K |
| 82075 |
|
5,600 |
3,686 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
620 |
472 |
$26K |
| 80305 |
|
1,459 |
986 |
$15K |
| 81025 |
|
1,963 |
1,305 |
$13K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,175 |
907 |
$10K |
| 99205 |
Prolong outpt/office vis |
130 |
121 |
$9K |
| 99406 |
|
1,026 |
755 |
$6K |
| T2023 |
Targeted case management; per month |
14 |
14 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
359 |
326 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
18 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
35 |
32 |
$1K |
| 96127 |
|
358 |
337 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$370.45 |
| 90688 |
|
22 |
22 |
$327.00 |
| J0578 |
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy |
14 |
12 |
$0.00 |
| C9399 |
Unclassified drugs or biologicals |
14 |
12 |
$0.00 |