| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,050 |
1,830 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,172 |
1,066 |
$33K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
468 |
430 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,333 |
1,759 |
$4K |
| 99215 |
Prolong outpt/office vis |
76 |
74 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
559 |
420 |
$2K |
| 72275 |
|
52 |
39 |
$965.76 |
| 84311 |
|
542 |
469 |
$702.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
630 |
557 |
$538.26 |
| 82570 |
|
546 |
480 |
$490.38 |
| 76942 |
|
46 |
41 |
$475.42 |
| J2704 |
Injection, propofol, 10 mg |
599 |
449 |
$378.82 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
843 |
651 |
$339.91 |
| 81003 |
|
556 |
481 |
$197.78 |
| J7050 |
Infusion, normal saline solution, 250 cc |
437 |
327 |
$155.37 |
| 83986 |
|
252 |
222 |
$149.74 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
43 |
38 |
$113.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
14 |
$6.30 |
| 36410 |
|
368 |
278 |
$1.65 |
| 4306F |
|
588 |
556 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
12 |
$0.00 |