| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,299 |
4,070 |
$290K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,601 |
4,230 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,058 |
2,911 |
$137K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
691 |
691 |
$62K |
| 95886 |
|
272 |
262 |
$29K |
| 62323 |
|
279 |
278 |
$27K |
| 27096 |
|
39 |
39 |
$4K |
| 95909 |
|
44 |
44 |
$3K |
| 62321 |
|
14 |
13 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,148 |
1,099 |
$1K |
| 96138 |
|
95 |
95 |
$1K |
| 96127 |
|
53 |
53 |
$328.55 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$267.52 |
| 99442 |
|
13 |
13 |
$176.05 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$94.44 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
14 |
14 |
$12.90 |