| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,924 |
4,648 |
$344K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,163 |
1,113 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
483 |
481 |
$50K |
| 62323 |
|
282 |
271 |
$44K |
| 99152 |
|
664 |
610 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
234 |
$13K |
| 99215 |
Prolong outpt/office vis |
123 |
112 |
$13K |
| 64493 |
|
50 |
40 |
$8K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$7K |
| 64635 |
|
15 |
12 |
$5K |
| 77002 |
|
66 |
66 |
$5K |
| 96127 |
|
1,403 |
1,378 |
$4K |
| 64494 |
|
33 |
26 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
623 |
601 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
949 |
885 |
$896.67 |
| 80305 |
|
53 |
52 |
$651.95 |
| 99406 |
|
16 |
16 |
$197.70 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
922 |
868 |
$176.97 |
| 99153 |
Mod sedat endo service >5yrs |
26 |
24 |
$154.92 |