| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
20,894 |
19,229 |
$865K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,356 |
24,259 |
$772K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,322 |
3,094 |
$190K |
| 62323 |
|
597 |
559 |
$76K |
| 64493 |
|
529 |
470 |
$62K |
| 80305 |
|
5,386 |
5,063 |
$46K |
| 64494 |
|
511 |
453 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
401 |
369 |
$20K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
725 |
656 |
$17K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,629 |
1,462 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
149 |
$13K |
| 77002 |
|
141 |
124 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
96 |
92 |
$4K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
16 |
16 |
$4K |
| 27096 |
|
12 |
12 |
$4K |
| 64635 |
|
12 |
12 |
$4K |
| 20610 |
|
73 |
65 |
$4K |
| 64636 |
|
24 |
24 |
$3K |
| 96103 |
|
375 |
333 |
$2K |
| 64483 |
|
14 |
13 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
353 |
327 |
$2K |
| 64490 |
|
14 |
13 |
$1K |
| 64491 |
|
14 |
13 |
$752.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
56 |
52 |
$228.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
163 |
149 |
$150.12 |