| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,568 |
2,509 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,312 |
2,271 |
$77K |
| 64635 |
|
29 |
29 |
$12K |
| 64636 |
|
45 |
28 |
$6K |
| 64493 |
|
34 |
27 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$4K |
| 64494 |
|
55 |
27 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 20610 |
|
12 |
12 |
$647.77 |
| 77002 |
|
14 |
14 |
$586.85 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
38 |
37 |
$135.10 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$133.00 |