| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,942 |
3,398 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,547 |
3,062 |
$91K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
184 |
145 |
$18K |
| 64635 |
|
56 |
48 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
117 |
$9K |
| 76942 |
|
268 |
217 |
$9K |
| 62323 |
|
84 |
68 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
167 |
$8K |
| 77002 |
|
273 |
223 |
$8K |
| 62370 |
|
191 |
155 |
$7K |
| 64636 |
|
60 |
48 |
$5K |
| 20610 |
|
170 |
134 |
$5K |
| 64493 |
|
47 |
44 |
$4K |
| 64633 |
|
12 |
12 |
$3K |
| 27096 |
|
17 |
17 |
$3K |
| 64494 |
|
51 |
44 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
402 |
343 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
29 |
$2K |
| 64634 |
|
12 |
12 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
248 |
204 |
$933.48 |
| 62368 |
|
63 |
46 |
$794.60 |
| 76000 |
|
20 |
16 |
$392.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
142 |
119 |
$212.01 |
| 62367 |
|
17 |
12 |
$103.88 |