| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,075 |
18,366 |
$690K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,459 |
3,050 |
$154K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,055 |
3,520 |
$50K |
| 20552 |
|
2,144 |
1,647 |
$34K |
| 72275 |
|
122 |
82 |
$4K |
| 64483 |
|
88 |
55 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,926 |
1,527 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
238 |
$1K |
| 64484 |
|
66 |
41 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$488.87 |
| 20610 |
|
30 |
12 |
$369.04 |
| 20553 |
|
17 |
17 |
$365.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,181 |
1,670 |
$261.99 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,268 |
1,030 |
$191.71 |
| 80305 |
|
125 |
107 |
$172.76 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
74 |
50 |
$135.88 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
13 |
13 |
$22.48 |
| 99000 |
|
67 |
66 |
$0.00 |