| Code | Description | Claims | Beneficiaries | Total Paid |
| G9012 |
Other specified case management service not elsewhere classified |
6,553 |
6,531 |
$1.77M |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
4,454 |
4,225 |
$1.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,024 |
2,787 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,556 |
1,466 |
$83K |
| Q3014 |
Telehealth originating site facility fee |
4,698 |
4,444 |
$81K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,458 |
4,221 |
$57K |
| 80305 |
|
4,619 |
4,376 |
$55K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
333 |
320 |
$7K |
| 81025 |
|
1,581 |
1,509 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
87 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
154 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$466.32 |