| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
279 |
$21K |
| 20551 |
|
243 |
166 |
$20K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
162 |
96 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
28 |
$1K |
| 80356 |
|
136 |
75 |
$1K |
| 80365 |
|
161 |
94 |
$1K |
| 80361 |
|
136 |
75 |
$1K |
| 80346 |
|
43 |
26 |
$339.88 |
| 96161 |
|
36 |
36 |
$144.03 |
| 80336 |
|
26 |
17 |
$126.99 |
| 80325 |
|
24 |
14 |
$105.94 |
| 80359 |
|
24 |
14 |
$88.83 |
| 80345 |
|
19 |
12 |
$81.42 |
| 80373 |
|
19 |
12 |
$76.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
15 |
$12.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |