| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,139 |
2,980 |
$128K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
595 |
568 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
142 |
$11K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
114 |
105 |
$554.78 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
43 |
42 |
$481.77 |
| 99152 |
|
25 |
25 |
$381.27 |
| 80305 |
|
62 |
59 |
$276.02 |
| 99442 |
|
16 |
13 |
$169.95 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
40 |
38 |
$20.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$10.77 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
31 |
30 |
$3.04 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
57 |
52 |
$0.00 |