| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2315 |
Injection, naltrexone, depot form, 1 mg |
49 |
39 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
858 |
598 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
136 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
73 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
48 |
43 |
$3K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
37 |
31 |
$114.60 |