| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,446 |
3,482 |
$2.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,344 |
2,565 |
$2.21M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,447 |
696 |
$976K |
| 99215 |
Prolong outpt/office vis |
239 |
187 |
$145K |
| 90834 |
Psychotherapy, 45 minutes with patient |
100 |
65 |
$80K |
| 80305 |
|
2,273 |
1,734 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,415 |
1,192 |
$38K |
| 99442 |
|
20 |
18 |
$19K |
| H2015 |
Comprehensive community support services, per 15 minutes |
13 |
12 |
$9K |
| 0031A |
|
13 |
12 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
12 |
$6K |
| 91303 |
|
12 |
12 |
$0.00 |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
572 |
521 |
$0.00 |
| 91301 |
|
27 |
25 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
25 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
17 |
13 |
$0.00 |
| MCDER |
|
186 |
157 |
$0.00 |