| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,982 |
5,750 |
$506K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
2,711 |
1,902 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,601 |
7,106 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,105 |
4,836 |
$259K |
| 99354 |
|
2,543 |
1,536 |
$123K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
927 |
655 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
356 |
353 |
$23K |
| 96127 |
|
1,557 |
1,206 |
$5K |
| 81025 |
|
452 |
325 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
77 |
69 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
112 |
108 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
62 |
$1K |
| 80061 |
Lipid panel |
92 |
92 |
$847.56 |
| 80053 |
Comprehensive metabolic panel |
118 |
115 |
$783.23 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
39 |
38 |
$781.44 |
| 90756 |
|
44 |
42 |
$752.07 |
| 99050 |
|
120 |
93 |
$727.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
108 |
101 |
$725.84 |
| 83527 |
|
53 |
43 |
$386.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$192.59 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
15 |
$171.88 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
36 |
27 |
$165.86 |
| 83525 |
|
17 |
15 |
$159.18 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
75 |
$147.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
23 |
$145.32 |
| 80305 |
|
14 |
14 |
$75.95 |
| 3085F |
|
20 |
17 |
$75.00 |
| 72100 |
|
20 |
16 |
$59.54 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
41 |
28 |
$4.83 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
926 |
730 |
$0.00 |
| 99072 |
|
277 |
257 |
$0.00 |
| 1170F |
|
4,578 |
3,729 |
$0.00 |
| 1125F |
|
4,661 |
3,812 |
$0.00 |