| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,215 |
27,653 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,036 |
4,901 |
$415K |
| 80305 |
|
24,684 |
11,160 |
$160K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
16,941 |
8,020 |
$90K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
1,545 |
498 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,545 |
1,471 |
$81K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
981 |
923 |
$77K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,266 |
1,153 |
$75K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
4,945 |
904 |
$65K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,014 |
471 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
675 |
631 |
$39K |
| 90832 |
Psychotherapy, 30 minutes with patient |
663 |
478 |
$29K |
| 93000 |
|
1,989 |
1,831 |
$28K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
825 |
498 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
109 |
104 |
$10K |
| 99385 |
|
116 |
115 |
$8K |
| 87210 |
|
1,111 |
1,036 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
55 |
27 |
$4K |
| 99215 |
Prolong outpt/office vis |
31 |
29 |
$3K |
| 76830 |
Ultrasound, transvaginal |
37 |
36 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
16 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
80 |
$1K |
| 81002 |
|
991 |
643 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
29 |
14 |
$566.05 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
286 |
199 |
$418.00 |
| 99401 |
|
37 |
26 |
$345.97 |
| 99000 |
|
12,372 |
8,102 |
$128.00 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
20 |
$122.77 |
| 99072 |
|
1,785 |
1,151 |
$98.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
401 |
359 |
$0.00 |
| 99058 |
|
303 |
266 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,091 |
1,004 |
$0.00 |
| A4550 |
Surgical trays |
287 |
253 |
$0.00 |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
191 |
27 |
$0.00 |