| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,070 |
23,987 |
$1.19M |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
5,184 |
4,346 |
$556K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,859 |
11,168 |
$355K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,503 |
6,286 |
$344K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
730 |
575 |
$57K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
976 |
745 |
$46K |
| 20610 |
|
1,148 |
790 |
$30K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
473 |
335 |
$24K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
871 |
741 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,258 |
2,806 |
$21K |
| 72100 |
|
838 |
680 |
$14K |
| 73560 |
|
627 |
534 |
$14K |
| 73620 |
|
513 |
451 |
$13K |
| 73110 |
|
504 |
428 |
$12K |
| 73130 |
|
496 |
420 |
$11K |
| 86235 |
|
99 |
81 |
$11K |
| 99199 |
Unlisted special service, procedure or report |
2,805 |
2,801 |
$10K |
| 85651 |
|
2,804 |
2,437 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
929 |
774 |
$8K |
| 73630 |
|
351 |
294 |
$7K |
| 73600 |
|
344 |
295 |
$7K |
| 73521 |
|
288 |
232 |
$6K |
| 73120 |
|
225 |
187 |
$5K |
| 73100 |
|
199 |
163 |
$5K |
| 72200 |
|
364 |
297 |
$5K |
| 72050 |
|
135 |
108 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
221 |
186 |
$3K |
| 83516 |
|
300 |
130 |
$3K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
26 |
26 |
$3K |
| 86481 |
|
56 |
37 |
$2K |
| 77080 |
|
63 |
59 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
16 |
12 |
$2K |
| 86225 |
|
99 |
81 |
$1K |
| 86200 |
|
104 |
84 |
$1K |
| 86226 |
|
99 |
81 |
$1K |
| 86038 |
|
90 |
81 |
$944.01 |
| 73030 |
|
39 |
37 |
$943.20 |
| 86480 |
|
18 |
17 |
$917.28 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
281 |
241 |
$801.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,295 |
1,116 |
$792.50 |
| 86431 |
|
148 |
128 |
$761.36 |
| 20552 |
|
42 |
37 |
$684.86 |
| 90674 |
|
13 |
13 |
$222.93 |
| 36415 |
Collection of venous blood by venipuncture |
364 |
325 |
$197.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$159.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
56 |
54 |
$145.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
217 |
193 |
$55.55 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
19 |
13 |
$16.89 |
| 99072 |
|
321 |
305 |
$0.00 |