| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,753 |
30,095 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,646 |
10,881 |
$283K |
| 64483 |
|
573 |
458 |
$43K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,473 |
1,982 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
185 |
$15K |
| 77002 |
|
347 |
272 |
$14K |
| 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 |
633 |
495 |
$10K |
| 99215 |
Prolong outpt/office vis |
166 |
130 |
$9K |
| 64493 |
|
97 |
71 |
$8K |
| 20610 |
|
184 |
136 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
649 |
533 |
$3K |
| J3490 |
Unclassified drugs |
1,409 |
1,084 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
44 |
$2K |
| 64494 |
|
103 |
71 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
742 |
561 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
194 |
155 |
$2K |
| 20553 |
|
52 |
40 |
$2K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
950 |
734 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,551 |
1,261 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
366 |
298 |
$1K |
| 64495 |
|
57 |
43 |
$885.60 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,498 |
1,885 |
$803.88 |
| 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 |
88 |
73 |
$717.66 |
| 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 |
22 |
16 |
$597.69 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
96 |
68 |
$429.49 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
64 |
52 |
$88.99 |
| 99406 |
|
104 |
67 |
$49.74 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
281 |
213 |
$26.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
35 |
24 |
$24.77 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
38 |
29 |
$0.02 |