| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
110 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
86 |
85 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63 |
63 |
$3K |
| 64493 |
|
19 |
19 |
$2K |
| 64494 |
|
19 |
19 |
$1K |
| 64495 |
|
18 |
18 |
$1K |
| 80348 |
|
29 |
29 |
$885.08 |
| 80346 |
|
29 |
29 |
$885.08 |
| 80364 |
|
29 |
29 |
$839.84 |
| 84403 |
|
38 |
38 |
$830.19 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
38 |
38 |
$746.71 |
| 80332 |
|
29 |
29 |
$720.65 |
| 82627 |
|
38 |
38 |
$715.15 |
| 84270 |
|
38 |
38 |
$699.19 |
| 82670 |
|
29 |
29 |
$680.58 |
| 84146 |
|
38 |
38 |
$623.10 |
| 80345 |
|
29 |
29 |
$617.70 |
| 80359 |
|
12 |
12 |
$604.02 |
| 80350 |
|
28 |
28 |
$596.40 |
| 83001 |
|
37 |
37 |
$596.07 |
| 83002 |
|
38 |
38 |
$595.26 |
| 80353 |
|
29 |
29 |
$573.62 |
| 84481 |
|
38 |
38 |
$544.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
38 |
$540.34 |
| 80320 |
|
29 |
29 |
$514.75 |
| 80324 |
|
29 |
29 |
$514.75 |
| 80355 |
|
29 |
29 |
$490.97 |
| 80360 |
|
29 |
29 |
$479.95 |
| 82746 |
|
38 |
38 |
$473.18 |
| 80366 |
|
28 |
28 |
$469.56 |
| 86376 |
|
38 |
38 |
$469.08 |
| 83992 |
|
29 |
29 |
$467.77 |
| 80373 |
|
29 |
29 |
$451.53 |
| 80372 |
|
29 |
29 |
$451.53 |
| 82728 |
|
38 |
38 |
$438.67 |
| A4550 |
Surgical trays |
63 |
60 |
$412.65 |
| 82607 |
|
38 |
38 |
$393.57 |
| 84439 |
|
38 |
38 |
$290.52 |
| 80069 |
|
38 |
38 |
$279.45 |
| 84144 |
|
13 |
13 |
$235.04 |
| 82150 |
|
38 |
38 |
$208.57 |
| 83735 |
|
36 |
36 |
$203.64 |
| 82533 |
|
12 |
12 |
$169.56 |
| 84460 |
|
37 |
37 |
$165.76 |
| 84075 |
|
38 |
38 |
$162.15 |
| 99152 |
|
32 |
32 |
$135.92 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
44 |
$97.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
64 |
61 |
$60.48 |
| 99153 |
Mod sedat endo service >5yrs |
28 |
28 |
$34.55 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
46 |
46 |
$20.65 |
| 84450 |
|
38 |
38 |
$9.52 |