| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
91 |
85 |
$3K |
| 80305 |
|
68 |
63 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
39 |
$1K |
| 96127 |
|
103 |
37 |
$299.02 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
18 |
14 |
$155.47 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
102 |
78 |
$28.09 |