| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 27096 |
|
3,900 |
3,313 |
$891K |
| 64493 |
|
4,214 |
3,608 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,244 |
3,744 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,920 |
3,464 |
$95K |
| 64483 |
|
383 |
337 |
$89K |
| 64490 |
|
357 |
326 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
650 |
566 |
$54K |
| 64495 |
|
4,058 |
3,451 |
$34K |
| 64494 |
|
4,213 |
3,583 |
$34K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
5,673 |
4,834 |
$29K |
| 64636 |
|
30 |
27 |
$11K |
| 95819 |
|
40 |
36 |
$8K |
| 64491 |
|
342 |
313 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
73 |
47 |
$5K |
| 64635 |
|
30 |
27 |
$5K |
| 64492 |
|
290 |
266 |
$5K |
| 80305 |
|
3,238 |
2,726 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
247 |
80 |
$3K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
401 |
380 |
$2K |
| 64644 |
|
18 |
16 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 95886 |
|
26 |
12 |
$2K |
| 64484 |
|
351 |
308 |
$906.75 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,558 |
1,466 |
$454.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
781 |
685 |
$83.03 |
| 99233 |
Prolong inpt eval add15 m |
24 |
12 |
$0.00 |