| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,410 |
1,674 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,052 |
2,355 |
$87K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,775 |
520 |
$23K |
| T2023 |
Targeted case management; per month |
62 |
50 |
$14K |
| H0001 |
Alcohol and/or drug assessment |
399 |
167 |
$9K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
143 |
123 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
237 |
195 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
139 |
84 |
$3K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
147 |
93 |
$3K |
| 99406 |
|
286 |
242 |
$2K |
| 80305 |
|
277 |
187 |
$2K |
| 86328 |
|
37 |
33 |
$602.80 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
344 |
99 |
$451.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
17 |
$237.12 |
| 99310 |
Prolong nursin fac eval 15m |
160 |
137 |
$207.14 |
| 90658 |
|
12 |
12 |
$172.20 |
| 36416 |
|
40 |
33 |
$75.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
130 |
111 |
$41.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
54 |
$14.06 |