| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,798 |
28,871 |
$2.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,351 |
19,891 |
$2.35M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
48,837 |
36,702 |
$2.22M |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
14,643 |
12,689 |
$1.69M |
| 96165 |
|
17,130 |
4,985 |
$641K |
| Q3014 |
Telehealth originating site facility fee |
25,394 |
19,381 |
$535K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,912 |
2,720 |
$387K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,769 |
3,020 |
$347K |
| 96164 |
|
17,407 |
5,072 |
$317K |
| 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 |
2,903 |
2,450 |
$307K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,876 |
1,408 |
$238K |
| 80305 |
|
14,009 |
8,833 |
$132K |
| H0001 |
Alcohol and/or drug assessment |
1,166 |
1,127 |
$122K |
| 99215 |
Prolong outpt/office vis |
943 |
762 |
$105K |
| 81025 |
|
13,604 |
10,712 |
$84K |
| 99205 |
Prolong outpt/office vis |
409 |
384 |
$60K |
| 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 |
279 |
235 |
$21K |
| 96127 |
|
3,109 |
2,896 |
$15K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
509 |
503 |
$9K |
| T1017 |
Targeted case management, each 15 minutes |
438 |
321 |
$7K |
| H0038 |
Self-help/peer services, per 15 minutes |
164 |
126 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
48 |
46 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
125 |
70 |
$4K |
| H0031 |
Mental health assessment, by non-physician |
14 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
208 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
95 |
89 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
64 |
56 |
$0.00 |