| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,853 |
11,071 |
$602K |
| 64483 |
|
1,004 |
905 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,023 |
1,933 |
$72K |
| 64484 |
|
785 |
714 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
670 |
662 |
$53K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
676 |
625 |
$26K |
| 64636 |
|
129 |
107 |
$20K |
| 64493 |
|
51 |
40 |
$8K |
| 77002 |
|
280 |
255 |
$4K |
| 64494 |
|
71 |
39 |
$4K |
| 64635 |
|
17 |
14 |
$4K |
| 62321 |
|
28 |
25 |
$3K |
| 64495 |
|
56 |
25 |
$3K |
| 95886 |
|
13 |
13 |
$1K |
| 20610 |
|
14 |
12 |
$535.27 |
| 99492 |
|
12 |
12 |
$468.42 |
| 98975 |
|
16 |
16 |
$233.27 |
| 99490 |
Ccm add 20min |
50 |
50 |
$104.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$104.71 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$14.39 |
| J3490 |
Unclassified drugs |
29 |
25 |
$0.00 |