| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,874 |
9,142 |
$388K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,966 |
1,802 |
$39K |
| 64493 |
|
265 |
212 |
$27K |
| 64490 |
|
110 |
99 |
$19K |
| 62323 |
|
186 |
168 |
$18K |
| 64635 |
|
97 |
75 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
148 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
293 |
249 |
$7K |
| 64483 |
|
40 |
38 |
$6K |
| 64633 |
|
14 |
12 |
$5K |
| 64494 |
|
271 |
210 |
$3K |
| 95886 |
|
69 |
65 |
$2K |
| 80305 |
|
1,603 |
1,474 |
$2K |
| 20611 |
|
13 |
13 |
$777.93 |
| 64636 |
|
98 |
75 |
$744.52 |
| 0101T |
|
30 |
12 |
$515.70 |
| 64484 |
|
13 |
12 |
$289.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
259 |
235 |
$253.69 |
| 64491 |
|
110 |
99 |
$245.44 |
| 77002 |
|
12 |
12 |
$209.72 |
| 80320 |
|
277 |
266 |
$206.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
633 |
580 |
$124.34 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
790 |
714 |
$1.82 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
747 |
680 |
$0.00 |
| 64492 |
|
29 |
24 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
208 |
160 |
$0.00 |
| 96130 |
|
80 |
78 |
$0.00 |
| 64634 |
|
16 |
12 |
$0.00 |