| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,916 |
8,815 |
$359K |
| 64483 |
|
2,107 |
2,106 |
$299K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,876 |
2,874 |
$168K |
| 64635 |
|
419 |
368 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
961 |
961 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
984 |
974 |
$58K |
| 64484 |
|
959 |
959 |
$46K |
| 99152 |
|
1,510 |
1,434 |
$39K |
| 64636 |
|
378 |
330 |
$32K |
| 62321 |
|
222 |
222 |
$31K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,224 |
2,220 |
$9K |
| 64493 |
|
27 |
26 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,358 |
1,346 |
$4K |
| 64494 |
|
25 |
24 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,872 |
2,820 |
$1K |
| 20611 |
|
12 |
12 |
$645.77 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
62 |
62 |
$588.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$434.70 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
247 |
245 |
$110.60 |
| J2704 |
Injection, propofol, 10 mg |
17 |
14 |
$82.68 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$47.00 |