| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
18,750 |
15,695 |
$538K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,722 |
13,567 |
$473K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,011 |
4,277 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
784 |
664 |
$61K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,562 |
2,094 |
$17K |
| 20552 |
|
952 |
757 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
475 |
337 |
$6K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
13 |
12 |
$5K |
| 64493 |
|
14 |
14 |
$4K |
| 20610 |
|
269 |
218 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
239 |
205 |
$2K |
| 64636 |
|
15 |
12 |
$455.08 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
56 |
41 |
$428.64 |
| 00731 |
|
21 |
12 |
$381.38 |
| 64494 |
|
14 |
14 |
$283.46 |
| 64495 |
|
12 |
12 |
$283.46 |
| 20611 |
|
13 |
12 |
$59.75 |
| 97012 |
|
36 |
30 |
$6.91 |