| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
45,467 |
39,409 |
$3.14M |
| 90791 |
|
15,832 |
13,814 |
$2.85M |
| T1016 |
Case management |
94,043 |
31,782 |
$2.64M |
| H0047 |
Alcohol/drug abuse svc nos |
2,697 |
2,269 |
$1.70M |
| 90837 |
|
16,383 |
7,706 |
$1.59M |
| S9480 |
Intensive outpatient psychia |
10,798 |
2,957 |
$1.27M |
| 90833 |
|
22,945 |
20,215 |
$853K |
| G0482 |
Drug test def 15-21 classes |
5,747 |
4,205 |
$704K |
| H2017 |
Psysoc rehab svc, per 15 min |
7,958 |
1,889 |
$644K |
| 90792 |
|
7,757 |
6,765 |
$596K |
| T2001 |
N-et; patient attend/escort |
54,735 |
15,278 |
$573K |
| 80307 |
|
18,343 |
12,449 |
$538K |
| 99213 |
|
12,104 |
10,763 |
$528K |
| Q3014 |
Telehealth facility fee |
20,280 |
14,714 |
$432K |
| H0015 |
Alcohol and/or drug services |
2,345 |
649 |
$388K |
| H2014 |
Skills train and dev, 15 min |
5,538 |
1,419 |
$222K |
| H0031 |
Mh health assess by non-md |
1,590 |
1,356 |
$219K |
| 99215 |
Prolong outpt/office vis |
2,064 |
1,872 |
$180K |
| 99490 |
Ccm add 20min |
6,798 |
6,339 |
$162K |
| H0002 |
Alcohol and/or drug screenin |
4,841 |
4,600 |
$139K |
| G0480 |
Drug test def 1-7 classes |
3,147 |
1,963 |
$111K |
| 90834 |
|
1,433 |
1,051 |
$97K |
| 90832 |
|
1,857 |
1,240 |
$93K |
| 87635 |
|
2,012 |
1,748 |
$87K |
| H0001 |
Alcohol and/or drug assess |
507 |
481 |
$68K |
| H0010 |
Alcohol and/or drug services |
391 |
199 |
$62K |
| 90853 |
|
2,081 |
1,023 |
$57K |
| 99211 |
|
3,231 |
2,570 |
$55K |
| G0481 |
Drug test def 8-14 classes |
893 |
642 |
$52K |
| H0004 |
Alcohol and/or drug services |
375 |
169 |
$41K |
| 96372 |
|
2,815 |
2,072 |
$39K |
| 99204 |
|
413 |
394 |
$36K |
| 99212 |
|
1,315 |
1,154 |
$32K |
| 99396 |
|
427 |
395 |
$31K |
| 99309 |
|
330 |
149 |
$28K |
| 99395 |
|
359 |
342 |
$24K |
| 90839 |
|
236 |
214 |
$24K |
| G0444 |
Depression screen annual |
2,034 |
1,798 |
$19K |
| 80306 |
|
1,467 |
986 |
$17K |
| 99386 |
|
226 |
206 |
$17K |
| 82075 |
|
2,202 |
1,654 |
$16K |
| 99385 |
|
241 |
205 |
$13K |
| G0483 |
Drug test def 22+ classes |
648 |
351 |
$12K |
| 99202 |
|
297 |
274 |
$11K |
| 86580 |
|
2,848 |
2,531 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
78 |
17 |
$8K |
| 80305 |
|
1,351 |
1,139 |
$7K |
| 87491 |
|
460 |
416 |
$7K |
| 87591 |
|
443 |
402 |
$7K |
| H0035 |
Mh partial hosp tx under 24h |
133 |
13 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
31 |
26 |
$2K |
| 99201 |
|
131 |
108 |
$2K |
| 87426 |
|
43 |
37 |
$1K |
| G0442 |
Annual alcohol screen 15 min |
123 |
83 |
$1K |
| 87102 |
|
288 |
233 |
$1K |
| 99203 |
|
16 |
15 |
$1K |
| 90674 |
|
58 |
48 |
$998.88 |
| 90686 |
|
71 |
65 |
$955.47 |
| 90471 |
|
68 |
63 |
$884.54 |
| 81025 |
|
213 |
181 |
$751.68 |
| H0034 |
Med trng & support per 15min |
34 |
17 |
$560.34 |
| H0007 |
Alcohol and/or drug services |
21 |
18 |
$434.20 |
| H0049 |
Alcohol/drug screening |
49 |
36 |
$399.75 |
| Q0091 |
Obtaining screen pap smear |
12 |
12 |
$236.88 |
| 98967 |
|
181 |
165 |
$45.14 |
| 99422 |
|
191 |
155 |
$36.69 |
| J1071 |
Inj testosterone cypionate |
438 |
241 |
$27.71 |
| G2012 |
Brief check in by md/qhp |
18 |
18 |
$2.29 |
| J2315 |
Naltrexone, depot form |
57 |
52 |
$0.01 |
| 3079F |
|
127 |
117 |
$0.00 |
| 3008F |
|
1,675 |
1,545 |
$0.00 |
| 3074F |
|
214 |
194 |
$0.00 |
| 3080F |
|
243 |
218 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
266 |
248 |
$0.00 |
| 99407 |
|
95 |
82 |
$0.00 |
| T2022 |
Case management, per month |
106 |
106 |
$0.00 |
| 99000 |
|
102 |
91 |
$0.00 |
| 99406 |
|
71 |
64 |
$0.00 |
| 3075F |
|
15 |
12 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
46 |
43 |
$0.00 |
| 3015F |
|
215 |
207 |
$0.00 |
| 3725F |
|
1,841 |
1,692 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
918 |
856 |
$0.00 |
| 99423 |
|
17 |
14 |
$0.00 |
| 3077F |
|
391 |
365 |
$0.00 |
| 3078F |
|
255 |
236 |
$0.00 |
| G0476 |
Hpv combo assay ca screen |
209 |
198 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
13 |
12 |
$0.00 |
| J2426 |
Inj, invega sustenna, 1 mg |
16 |
13 |
$0.00 |
| 99421 |
|
34 |
28 |
$0.00 |