| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,518 |
15,635 |
$2.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,157 |
10,973 |
$853K |
| G9012 |
Other specified case management service not elsewhere classified |
2,761 |
2,678 |
$568K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
9,067 |
4,784 |
$466K |
| 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 |
2,932 |
2,089 |
$152K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
572 |
412 |
$27K |
| T1016 |
Case management, each 15 minutes |
461 |
383 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
313 |
294 |
$27K |
| 90791 |
Psychiatric diagnostic evaluation |
78 |
77 |
$11K |
| Q3014 |
Telehealth originating site facility fee |
411 |
287 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
178 |
159 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
81 |
$6K |
| 81025 |
|
907 |
818 |
$5K |
| H0006 |
Alcohol and/or drug services; case management |
147 |
119 |
$5K |
| 99409 |
|
74 |
60 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
192 |
166 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
12 |
$1K |
| H0038 |
Self-help/peer services, per 15 minutes |
316 |
226 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
39 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
87 |
67 |
$791.37 |
| 86803 |
|
72 |
65 |
$750.60 |
| H2027 |
Psychoeducational service, per 15 minutes |
53 |
25 |
$618.21 |
| 99484 |
|
58 |
36 |
$414.61 |
| 99406 |
|
43 |
35 |
$372.70 |
| 87340 |
|
85 |
66 |
$355.29 |
| S9475 |
Ambulatory setting substance abuse treatment or detoxification services, per diem |
461 |
278 |
$142.80 |