| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9328 |
Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
13,289 |
4,014 |
$8.49M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,508 |
35,710 |
$2.31M |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
4,148 |
3,878 |
$486K |
| J7999 |
Compounded drug, not otherwise classified |
8,605 |
3,889 |
$385K |
| J3490 |
Unclassified drugs |
5,130 |
1,674 |
$356K |
| 62369 |
|
9,839 |
7,758 |
$290K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,944 |
2,805 |
$276K |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
2,202 |
1,928 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,254 |
5,093 |
$186K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,390 |
1,484 |
$142K |
| 90791 |
Psychiatric diagnostic evaluation |
1,543 |
1,422 |
$137K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,955 |
4,038 |
$127K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,637 |
1,267 |
$72K |
| 64483 |
|
865 |
795 |
$50K |
| 97161 |
|
708 |
672 |
$41K |
| 62323 |
|
746 |
700 |
$40K |
| 99601 |
|
246 |
238 |
$24K |
| 62321 |
|
409 |
384 |
$23K |
| 99443 |
|
254 |
247 |
$12K |
| 97162 |
|
372 |
325 |
$12K |
| 01938 |
|
127 |
112 |
$11K |
| 99490 |
Ccm add 20min |
540 |
459 |
$10K |
| 27096 |
|
147 |
144 |
$9K |
| 99152 |
|
1,803 |
1,490 |
$9K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
553 |
337 |
$9K |
| 01936 |
|
66 |
59 |
$8K |
| 77002 |
|
211 |
179 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
407 |
327 |
$7K |
| 62368 |
|
328 |
244 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
193 |
135 |
$6K |
| 97113 |
|
183 |
80 |
$5K |
| 20552 |
|
129 |
113 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
241 |
174 |
$3K |
| 01942 |
|
16 |
14 |
$3K |
| 01992 |
|
46 |
41 |
$3K |
| 00300 |
|
19 |
15 |
$2K |
| 20610 |
|
63 |
55 |
$2K |
| 64493 |
|
13 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
206 |
141 |
$500.61 |
| 99442 |
|
17 |
16 |
$341.43 |