| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,064 |
1,055 |
$0.00 |
| 96160 |
|
379 |
375 |
$0.00 |
| 96103 |
|
211 |
208 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$0.00 |
| 01992 |
|
45 |
43 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,223 |
1,214 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
361 |
359 |
$0.00 |
| 96127 |
|
53 |
52 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
44 |
42 |
$0.00 |
| 96146 |
|
66 |
64 |
$0.00 |