| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,737 |
42,248 |
$1.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,504 |
23,841 |
$1.65M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
22,963 |
19,938 |
$575K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,917 |
4,178 |
$523K |
| 01936 |
|
1,698 |
1,521 |
$172K |
| 01938 |
|
537 |
482 |
$42K |
| 64483 |
|
250 |
234 |
$29K |
| 64493 |
|
258 |
200 |
$21K |
| J3490 |
Unclassified drugs |
878 |
778 |
$18K |
| 20610 |
|
471 |
378 |
$15K |
| 64494 |
|
311 |
197 |
$12K |
| 64635 |
|
83 |
62 |
$11K |
| 77002 |
|
270 |
187 |
$11K |
| 01992 |
|
83 |
78 |
$10K |
| 01940 |
|
90 |
64 |
$6K |
| 01937 |
|
68 |
62 |
$5K |
| 20552 |
|
339 |
248 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
841 |
628 |
$2K |
| 64636 |
|
41 |
36 |
$2K |
| 64484 |
|
41 |
39 |
$2K |
| 27096 |
|
29 |
25 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
197 |
147 |
$2K |
| 80305 |
|
585 |
444 |
$2K |
| 20553 |
|
60 |
54 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
496 |
379 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,057 |
1,660 |
$413.00 |
| 99152 |
|
26 |
18 |
$337.27 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
797 |
506 |
$196.76 |