| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,231 |
2,942 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,809 |
3,538 |
$146K |
| 64483 |
|
45 |
37 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
111 |
$8K |
| 96130 |
|
108 |
90 |
$7K |
| 93970 |
|
69 |
68 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
70 |
$4K |
| 93925 |
|
31 |
29 |
$4K |
| 96132 |
|
85 |
74 |
$4K |
| 62323 |
|
14 |
14 |
$3K |
| 99442 |
|
63 |
61 |
$3K |
| 97750 |
|
94 |
93 |
$2K |
| 96138 |
|
83 |
73 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28 |
27 |
$769.35 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
185 |
170 |
$646.26 |
| 99152 |
|
16 |
16 |
$527.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
17 |
$50.23 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
17 |
16 |
$6.27 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
16 |
15 |
$2.14 |