| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,776 |
2,720 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,416 |
1,395 |
$28K |
| 62323 |
|
97 |
95 |
$11K |
| J3490 |
Unclassified drugs |
495 |
426 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
59 |
$4K |
| 99152 |
|
126 |
107 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
553 |
487 |
$2K |
| 99442 |
|
12 |
12 |
$33.27 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
83 |
67 |
$15.68 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
17 |
17 |
$2.80 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
16 |
13 |
$0.00 |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
201 |
190 |
$0.00 |
| G9577 |
Patients prescribed opiates for longer than six weeks |
202 |
191 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
29 |
28 |
$0.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
15 |
15 |
$0.00 |