| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,192 |
9,805 |
$391K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,912 |
6,618 |
$365K |
| 64493 |
|
1,902 |
1,285 |
$331K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,469 |
1,346 |
$112K |
| 64635 |
|
595 |
499 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,978 |
3,188 |
$91K |
| 27096 |
|
1,059 |
635 |
$82K |
| 99442 |
|
370 |
334 |
$50K |
| 99152 |
|
3,358 |
2,516 |
$48K |
| 99205 |
Prolong outpt/office vis |
263 |
260 |
$40K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
4,243 |
2,959 |
$18K |
| 64494 |
|
1,905 |
1,286 |
$16K |
| 64490 |
|
74 |
50 |
$14K |
| 64418 |
|
169 |
97 |
$10K |
| 64636 |
|
598 |
498 |
$7K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
273 |
255 |
$6K |
| 20553 |
|
1,007 |
818 |
$6K |
| 64495 |
|
1,523 |
1,028 |
$4K |
| 64483 |
|
13 |
12 |
$2K |
| 80306 |
|
148 |
122 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
824 |
563 |
$1K |
| 77002 |
|
34 |
32 |
$1K |
| 64484 |
|
13 |
12 |
$866.37 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$745.72 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
288 |
261 |
$144.00 |
| 82570 |
|
47 |
41 |
$85.46 |
| 64492 |
|
74 |
50 |
$62.01 |
| 64491 |
|
74 |
50 |
$61.56 |
| 76942 |
|
16 |
13 |
$20.80 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
88 |
68 |
$1.46 |
| J2704 |
Injection, propofol, 10 mg |
26 |
17 |
$0.35 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
69 |
14 |
$0.00 |
| 97016 |
|
69 |
14 |
$0.00 |
| 97032 |
|
69 |
14 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
69 |
14 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
20 |
13 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
21 |
17 |
$0.00 |