| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
12,745 |
7,538 |
$1.74M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28,011 |
12,281 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,445 |
12,278 |
$1.28M |
| 90832 |
Psychotherapy, 30 minutes with patient |
28,552 |
11,045 |
$1.21M |
| 82075 |
|
14,415 |
6,440 |
$425K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
10,659 |
4,149 |
$401K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,579 |
4,372 |
$352K |
| 99406 |
|
16,540 |
8,215 |
$272K |
| 99401 |
|
7,642 |
3,898 |
$226K |
| 99407 |
|
4,656 |
3,866 |
$150K |
| 99402 |
|
2,854 |
2,175 |
$139K |
| 81025 |
|
6,522 |
2,984 |
$114K |
| 86328 |
|
2,621 |
1,371 |
$99K |
| G0480 |
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; 1-7 drug class(es), including metabolite(s) if performed |
734 |
419 |
$73K |
| 90863 |
|
1,738 |
1,052 |
$30K |
| 80305 |
|
793 |
407 |
$24K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,309 |
972 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
274 |
233 |
$23K |
| 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 |
381 |
288 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
193 |
$12K |
| 93000 |
|
615 |
588 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
114 |
113 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
178 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
79 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
67 |
$6K |
| 99385 |
|
97 |
92 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
86 |
$5K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
608 |
353 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
283 |
208 |
$4K |
| H0031 |
Mental health assessment, by non-physician |
21 |
12 |
$3K |
| 93922 |
|
56 |
53 |
$3K |
| 94010 |
|
118 |
118 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
392 |
365 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
88 |
$2K |
| 90686 |
|
37 |
33 |
$623.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
84 |
$510.65 |
| 90658 |
|
53 |
53 |
$438.02 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
63 |
25 |
$125.01 |