| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
8,383 |
4,392 |
$705K |
| T2001 |
N-et; patient attend/escort |
31,692 |
5,189 |
$482K |
| T1016 |
Case management |
12,420 |
4,839 |
$449K |
| 90791 |
|
2,057 |
1,792 |
$314K |
| G0482 |
Drug test def 15-21 classes |
3,096 |
2,028 |
$293K |
| S9480 |
Intensive outpatient psychia |
2,830 |
657 |
$287K |
| 99214 |
|
4,717 |
4,055 |
$250K |
| 80307 |
|
3,913 |
2,549 |
$109K |
| 90833 |
|
3,269 |
2,820 |
$93K |
| Q3014 |
Telehealth facility fee |
4,227 |
3,168 |
$75K |
| 90832 |
|
1,416 |
984 |
$67K |
| 99213 |
|
1,420 |
1,100 |
$50K |
| 90834 |
|
767 |
552 |
$47K |
| 90853 |
|
1,457 |
603 |
$41K |
| 90792 |
|
560 |
477 |
$38K |
| H0002 |
Alcohol and/or drug screenin |
1,135 |
1,024 |
$26K |
| H2017 |
Psysoc rehab svc, per 15 min |
375 |
65 |
$21K |
| H2014 |
Skills train and dev, 15 min |
264 |
60 |
$14K |
| 99204 |
|
135 |
120 |
$7K |
| 99215 |
Prolong outpt/office vis |
138 |
112 |
$6K |
| G0444 |
Depression screen annual |
506 |
411 |
$4K |
| 99205 |
Prolong outpt/office vis |
45 |
42 |
$3K |
| 90836 |
|
45 |
41 |
$2K |
| 99396 |
|
16 |
13 |
$738.90 |
| 99212 |
|
20 |
15 |
$370.50 |
| Q0091 |
Obtaining screen pap smear |
31 |
29 |
$256.62 |
| G0101 |
Ca screen;pelvic/breast exam |
17 |
15 |
$143.96 |
| 90686 |
|
34 |
27 |
$106.05 |
| 81002 |
|
30 |
12 |
$24.50 |
| 3725F |
|
263 |
218 |
$0.00 |
| 96372 |
|
41 |
39 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
28 |
19 |
$0.00 |