| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,460 |
3,308 |
$188K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,554 |
1,536 |
$56K |
| 99243 |
|
435 |
435 |
$37K |
| 64484 |
|
99 |
99 |
$26K |
| 62323 |
|
204 |
204 |
$21K |
| 99152 |
|
455 |
455 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
103 |
$9K |
| 64483 |
|
99 |
99 |
$9K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
486 |
486 |
$5K |
| 20552 |
|
101 |
99 |
$4K |
| 20610 |
|
28 |
27 |
$1K |
| 64493 |
|
25 |
25 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
239 |
234 |
$1K |
| 64494 |
|
25 |
25 |
$703.16 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
536 |
536 |
$405.81 |
| 99407 |
|
12 |
12 |
$231.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
16 |
16 |
$2.33 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
73 |
73 |
$0.00 |