| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,644 |
16,667 |
$717K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,727 |
7,381 |
$271K |
| 62323 |
|
1,106 |
1,018 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,407 |
2,305 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
657 |
627 |
$45K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,342 |
2,127 |
$12K |
| 76942 |
|
100 |
92 |
$8K |
| 77002 |
|
253 |
200 |
$6K |
| 99152 |
|
380 |
358 |
$5K |
| 20610 |
|
186 |
145 |
$4K |
| 20552 |
|
108 |
101 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
372 |
350 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,409 |
1,303 |
$1K |
| 62321 |
|
13 |
13 |
$1K |
| 20611 |
|
18 |
13 |
$387.74 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
578 |
532 |
$177.19 |
| A4550 |
Surgical trays |
12 |
12 |
$60.83 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
571 |
481 |
$33.76 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
275 |
203 |
$7.24 |