| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,363 |
3,985 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,847 |
6,214 |
$200K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,651 |
5,075 |
$128K |
| 99406 |
|
4,371 |
3,893 |
$26K |
| 62323 |
|
317 |
310 |
$24K |
| 99442 |
|
311 |
311 |
$12K |
| 81003 |
|
3,436 |
3,193 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
739 |
659 |
$5K |
| 96127 |
|
1,451 |
1,375 |
$3K |
| 72275 |
|
32 |
30 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$953.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
16 |
$854.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
41 |
$619.62 |
| 77003 |
|
16 |
16 |
$476.01 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
77 |
75 |
$253.38 |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
101 |
101 |
$159.75 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
460 |
454 |
$144.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
564 |
496 |
$69.98 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
40 |
40 |
$44.90 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
28 |
27 |
$39.92 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
90 |
88 |
$0.00 |
| 99072 |
|
621 |
598 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
93 |
91 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
14 |
14 |
$0.00 |