| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,309 |
1,999 |
$164K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
642 |
636 |
$61K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
792 |
779 |
$33K |
| 20550 |
|
334 |
315 |
$25K |
| 72114 |
|
650 |
649 |
$23K |
| 72050 |
|
391 |
391 |
$12K |
| 64493 |
|
103 |
97 |
$10K |
| 76942 |
|
282 |
264 |
$8K |
| 64490 |
|
71 |
65 |
$7K |
| 98929 |
|
136 |
129 |
$6K |
| 64494 |
|
100 |
94 |
$5K |
| 98928 |
|
111 |
106 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
50 |
$3K |
| 73564 |
|
82 |
54 |
$2K |
| 64491 |
|
12 |
12 |
$584.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
169 |
162 |
$226.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$16.46 |