| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,559 |
10,655 |
$860K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,017 |
6,431 |
$382K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,834 |
1,692 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
496 |
496 |
$60K |
| 64451 |
|
92 |
88 |
$20K |
| 64493 |
|
41 |
41 |
$6K |
| 64494 |
|
41 |
41 |
$3K |
| 27096 |
|
14 |
12 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,536 |
1,435 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$997.38 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
456 |
439 |
$333.73 |
| J3490 |
Unclassified drugs |
28 |
25 |
$32.72 |