| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
2,603 |
2,292 |
$538K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,562 |
1,918 |
$201K |
| 80305 |
|
3,398 |
1,740 |
$40K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,455 |
1,120 |
$36K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
3,392 |
1,712 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
106 |
47 |
$8K |
| 3074F |
|
866 |
537 |
$6K |
| 3078F |
|
714 |
488 |
$5K |
| 3079F |
|
765 |
538 |
$5K |
| 3075F |
|
431 |
334 |
$3K |
| 3077F |
|
415 |
309 |
$2K |
| 99000 |
|
970 |
656 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$1K |
| 3080F |
|
185 |
140 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
47 |
40 |
$991.43 |
| 90756 |
|
55 |
45 |
$259.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
44 |
$117.32 |
| 99072 |
|
370 |
200 |
$15.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
72 |
29 |
$0.00 |