| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,880 |
7,674 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,480 |
3,123 |
$121K |
| 99442 |
|
1,107 |
893 |
$11K |
| 99152 |
|
446 |
387 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
360 |
313 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
78 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
127 |
$3K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
162 |
135 |
$2K |
| 62370 |
|
76 |
65 |
$2K |
| 76942 |
|
78 |
66 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
225 |
197 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$1K |
| 20611 |
|
17 |
12 |
$902.90 |
| 62323 |
|
21 |
13 |
$660.67 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
588 |
499 |
$398.69 |
| 80346 |
|
68 |
45 |
$290.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
395 |
361 |
$276.69 |
| 80361 |
|
68 |
45 |
$248.43 |
| 80372 |
|
68 |
45 |
$212.18 |
| 80369 |
|
68 |
45 |
$212.18 |
| 80373 |
|
68 |
45 |
$212.18 |
| 80348 |
|
68 |
45 |
$203.27 |
| 80365 |
|
67 |
44 |
$203.27 |
| 80354 |
|
68 |
45 |
$203.27 |
| 83992 |
|
13 |
13 |
$196.69 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
62 |
55 |
$188.87 |
| 80324 |
|
68 |
45 |
$137.93 |
| 80358 |
|
68 |
45 |
$137.93 |
| 80353 |
|
68 |
45 |
$137.93 |
| 80356 |
|
68 |
45 |
$137.93 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
210 |
180 |
$100.76 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
500 |
431 |
$87.36 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$34.92 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
36 |
34 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
184 |
166 |
$0.00 |