| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,456 |
8,866 |
$545K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,414 |
5,884 |
$447K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,327 |
7,612 |
$409K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
251 |
238 |
$29K |
| 99205 |
Prolong outpt/office vis |
109 |
95 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
253 |
$11K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
177 |
154 |
$1K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
18 |
14 |
$528.49 |
| 99406 |
|
47 |
46 |
$348.86 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
29 |
$0.00 |
| 96103 |
|
32 |
29 |
$0.00 |
| 96120 |
|
32 |
29 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
134 |
123 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
32 |
29 |
$0.00 |