| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
98,809 |
98,626 |
$20.46M |
| H2000 |
Comprehensive multidisciplinary evaluation |
4,041 |
3,540 |
$1.27M |
| 8888888 |
Internal/system code - not a standard HCPCS code |
1,393 |
368 |
$621K |
| H2016 |
Comprehensive community support services, per diem |
441 |
55 |
$419K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
3,206 |
1,048 |
$168K |
| T1001 |
Nursing assessment / evaluation |
481 |
56 |
$66K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
1,007 |
53 |
$47K |
| 90832 |
Psychotherapy, 30 minutes with patient |
276 |
52 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
48 |
$25K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,201 |
595 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$13K |
| H0038 |
Self-help/peer services, per 15 minutes |
243 |
50 |
$8K |
| J3490 |
Unclassified drugs |
11,318 |
1,152 |
$5K |
| 90870 |
|
3,222 |
1,054 |
$4K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
295 |
137 |
$4K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
44 |
42 |
$3K |
| H2014 |
Skills training and development, per 15 minutes |
14 |
12 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
172 |
152 |
$2K |
| 80305 |
|
54 |
50 |
$274.97 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$246.52 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,939 |
908 |
$210.24 |
| T1017 |
Targeted case management, each 15 minutes |
118 |
38 |
$155.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$35.96 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,136 |
422 |
$23.90 |
| J2704 |
Injection, propofol, 10 mg |
1,507 |
610 |
$16.74 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
28 |
13 |
$4.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
485 |
146 |
$3.92 |
| S9485 |
Crisis intervention mental health services, per diem |
129 |
117 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
252 |
121 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
193 |
95 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
17 |
16 |
$0.00 |