| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 27096 |
|
1,016 |
908 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,782 |
4,168 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,412 |
2,879 |
$105K |
| 64635 |
|
955 |
752 |
$102K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
11,742 |
8,050 |
$92K |
| 64636 |
|
932 |
742 |
$65K |
| 64483 |
|
607 |
488 |
$42K |
| 77002 |
|
2,583 |
1,927 |
$38K |
| 64484 |
|
608 |
487 |
$35K |
| 64450 |
|
480 |
217 |
$20K |
| 64633 |
|
169 |
125 |
$19K |
| 64634 |
|
183 |
135 |
$15K |
| 20610 |
|
585 |
465 |
$15K |
| 64640 |
|
148 |
66 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
138 |
$9K |
| 99443 |
|
284 |
264 |
$8K |
| 62321 |
|
50 |
42 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
92 |
76 |
$3K |
| 64490 |
|
20 |
14 |
$2K |
| 64418 |
|
15 |
12 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
387 |
316 |
$981.99 |
| 64491 |
|
20 |
14 |
$893.99 |
| J3490 |
Unclassified drugs |
115 |
96 |
$448.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
255 |
213 |
$402.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
15 |
$265.63 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
992 |
659 |
$184.10 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
98 |
84 |
$7.46 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
115 |
100 |
$6.38 |
| 77003 |
|
34 |
29 |
$0.00 |
| 64625 |
|
15 |
12 |
$0.00 |