| Code | Description | Claims | Beneficiaries | Total Paid |
| 64483 |
|
998 |
983 |
$110K |
| 64493 |
|
987 |
978 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,289 |
1,282 |
$89K |
| 64494 |
|
969 |
958 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,014 |
1,011 |
$39K |
| 64484 |
|
259 |
254 |
$11K |
| 80305 |
|
1,197 |
1,191 |
$8K |
| 99442 |
|
180 |
180 |
$4K |
| J3490 |
Unclassified drugs |
738 |
723 |
$3K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
1,756 |
914 |
$3K |
| 81002 |
|
472 |
470 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,223 |
2,084 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
23 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,272 |
1,256 |
$859.41 |
| 64495 |
|
15 |
15 |
$776.53 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
24 |
$63.80 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
198 |
196 |
$0.04 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
183 |
181 |
$0.04 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
86 |
85 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
12 |
12 |
$0.00 |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
37 |
37 |
$0.00 |
| G9561 |
Patients prescribed opiates for longer than six weeks |
93 |
93 |
$0.00 |
| 1036F |
|
18 |
18 |
$0.00 |