| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,253 |
13,974 |
$997K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,306 |
2,906 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
231 |
$12K |
| 93922 |
|
24 |
18 |
$5K |
| 80306 |
|
202 |
169 |
$2K |
| 27096 |
|
14 |
12 |
$2K |
| 96138 |
|
269 |
235 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 80305 |
|
251 |
228 |
$474.41 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
1,121 |
882 |
$260.74 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
402 |
316 |
$25.52 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
189 |
146 |
$0.05 |
| 99152 |
|
317 |
218 |
$0.03 |
| 95923 |
|
24 |
18 |
$0.00 |
| 96103 |
|
20 |
15 |
$0.00 |
| 95943 |
|
24 |
18 |
$0.00 |
| J3490 |
Unclassified drugs |
19 |
13 |
$0.00 |