| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,054 |
16,052 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,874 |
16,658 |
$665K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
11,519 |
10,282 |
$439K |
| 64635 |
|
525 |
479 |
$144K |
| 77002 |
|
2,867 |
2,286 |
$125K |
| 27096 |
|
1,139 |
961 |
$94K |
| 64636 |
|
559 |
490 |
$89K |
| J3304 |
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg |
215 |
195 |
$79K |
| 76942 |
|
2,354 |
1,973 |
$75K |
| 20610 |
|
2,213 |
1,747 |
$70K |
| 93923 |
|
1,694 |
750 |
$66K |
| 20553 |
|
1,277 |
1,011 |
$36K |
| 95923 |
|
507 |
392 |
$34K |
| 95921 |
|
937 |
715 |
$30K |
| 64493 |
|
262 |
222 |
$27K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
4,674 |
3,998 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
326 |
273 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
258 |
163 |
$13K |
| 20611 |
|
384 |
248 |
$12K |
| 64494 |
|
267 |
220 |
$12K |
| 81025 |
|
2,341 |
2,024 |
$12K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
28 |
13 |
$9K |
| 72275 |
|
180 |
158 |
$9K |
| 99215 |
Prolong outpt/office vis |
92 |
72 |
$8K |
| 62323 |
|
77 |
64 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
773 |
584 |
$4K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
1,079 |
991 |
$3K |
| 93040 |
|
749 |
525 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
842 |
602 |
$2K |
| 62321 |
|
12 |
12 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
268 |
218 |
$1K |
| 96132 |
|
99 |
92 |
$1K |
| 96130 |
|
112 |
103 |
$999.93 |
| 96136 |
|
90 |
77 |
$987.78 |
| 64615 |
|
14 |
13 |
$911.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
708 |
539 |
$533.75 |
| 96138 |
|
104 |
95 |
$476.08 |
| 96120 |
|
502 |
332 |
$417.15 |
| 96102 |
|
114 |
87 |
$240.43 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
481 |
420 |
$199.44 |
| 99406 |
|
81 |
65 |
$156.42 |
| 99441 |
|
94 |
83 |
$145.78 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
505 |
444 |
$6.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$2.83 |
| 96103 |
|
388 |
219 |
$0.00 |
| 99072 |
|
37 |
36 |
$0.00 |