| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,119 |
1,319 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,142 |
883 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
683 |
548 |
$19K |
| H2016 |
Comprehensive community support services, per diem |
109 |
35 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
252 |
245 |
$13K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
58 |
12 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
140 |
133 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
594 |
512 |
$6K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
221 |
97 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
61 |
$5K |
| T1016 |
Case management, each 15 minutes |
279 |
117 |
$3K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
85 |
35 |
$941.51 |
| 80305 |
|
123 |
103 |
$855.81 |
| 36415 |
Collection of venous blood by venipuncture |
467 |
389 |
$696.01 |
| 86580 |
|
130 |
104 |
$534.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
58 |
$481.92 |
| 99385 |
|
16 |
13 |
$429.88 |
| 99000 |
|
351 |
297 |
$400.32 |
| 90756 |
|
31 |
28 |
$382.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
29 |
$350.15 |
| 81025 |
|
48 |
39 |
$326.16 |
| 99001 |
|
93 |
77 |
$283.17 |
| 81000 |
|
49 |
44 |
$122.59 |
| H0038 |
Self-help/peer services, per 15 minutes |
78 |
36 |
$110.66 |
| 99072 |
|
76 |
53 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
13 |
13 |
$0.00 |