| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,900 |
7,659 |
$625K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,024 |
2,284 |
$131K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,068 |
905 |
$112K |
| 76942 |
|
2,088 |
1,524 |
$96K |
| 20553 |
|
1,314 |
989 |
$38K |
| 99152 |
|
667 |
423 |
$11K |
| A4550 |
Surgical trays |
1,420 |
1,102 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
256 |
192 |
$6K |
| 77003 |
|
1,067 |
781 |
$5K |
| 20611 |
|
61 |
27 |
$4K |
| 64483 |
|
19 |
12 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
339 |
279 |
$1K |
| 64484 |
|
19 |
12 |
$1K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
1,700 |
648 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
353 |
244 |
$4.46 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
136 |
101 |
$0.00 |