| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,512 |
9,397 |
$757K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,141 |
3,655 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,396 |
6,323 |
$342K |
| 99215 |
Prolong outpt/office vis |
3,580 |
2,711 |
$234K |
| 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 |
621 |
327 |
$60K |
| 99199 |
Unlisted special service, procedure or report |
10,138 |
9,951 |
$37K |
| 90832 |
Psychotherapy, 30 minutes with patient |
783 |
571 |
$22K |
| 80305 |
|
1,644 |
1,036 |
$16K |
| 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 |
366 |
272 |
$16K |
| 99205 |
Prolong outpt/office vis |
75 |
62 |
$9K |
| 82947 |
|
3,308 |
2,337 |
$5K |
| 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 |
64 |
55 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
710 |
579 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
113 |
72 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
206 |
164 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
33 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
37 |
$515.42 |
| 90834 |
Psychotherapy, 45 minutes with patient |
15 |
12 |
$439.67 |
| 99401 |
|
17 |
13 |
$303.40 |
| 87660 |
|
49 |
40 |
$148.44 |
| 81003 |
|
1,770 |
858 |
$116.34 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
19 |
14 |
$48.07 |
| 80061 |
Lipid panel |
107 |
102 |
$16.53 |
| 3074F |
|
24 |
23 |
$0.00 |
| 1111F |
|
108 |
103 |
$0.00 |
| G2074 |
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
35 |
30 |
$0.00 |
| 3075F |
|
16 |
14 |
$0.00 |
| 3079F |
|
17 |
14 |
$0.00 |
| 3008F |
|
51 |
44 |
$0.00 |
| 3078F |
|
27 |
26 |
$0.00 |