| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,476 |
4,515 |
$418K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,079 |
5,686 |
$418K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
855 |
676 |
$37K |
| 99199 |
Unlisted special service, procedure or report |
4,404 |
2,556 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
164 |
137 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,086 |
752 |
$10K |
| 80305 |
|
778 |
681 |
$5K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 96160 |
|
595 |
498 |
$2K |
| 90674 |
|
65 |
52 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
52 |
$750.84 |
| 90756 |
|
59 |
36 |
$646.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
123 |
88 |
$26.64 |
| 3074F |
|
434 |
356 |
$0.02 |
| 1036F |
|
79 |
63 |
$0.02 |
| 3078F |
|
463 |
376 |
$0.01 |
| 1159F |
|
597 |
475 |
$0.01 |
| 3077F |
|
15 |
12 |
$0.00 |
| 4274F |
|
17 |
14 |
$0.00 |
| 1160F |
|
114 |
96 |
$0.00 |
| 3075F |
|
113 |
91 |
$0.00 |
| 3008F |
|
604 |
473 |
$0.00 |
| 1030F |
|
97 |
79 |
$0.00 |
| 3079F |
|
127 |
101 |
$0.00 |
| 1126F |
|
64 |
50 |
$0.00 |
| 4000F |
|
50 |
40 |
$0.00 |
| 1101F |
|
16 |
13 |
$0.00 |
| 1125F |
|
175 |
142 |
$0.00 |
| 1034F |
|
49 |
39 |
$0.00 |
| 4037F |
|
18 |
15 |
$0.00 |