| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
210 |
190 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
435 |
341 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
74 |
$4K |
| 20552 |
|
55 |
50 |
$2K |
| 99152 |
|
115 |
92 |
$2K |
| 77003 |
|
53 |
50 |
$2K |
| 20553 |
|
136 |
85 |
$2K |
| 64493 |
|
21 |
14 |
$781.70 |
| 80305 |
|
347 |
210 |
$702.69 |
| 20610 |
|
45 |
27 |
$671.00 |
| 64495 |
|
20 |
13 |
$407.30 |
| 64494 |
|
21 |
14 |
$402.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
14 |
$2.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
93 |
$0.00 |
| 99406 |
|
124 |
85 |
$0.00 |