| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,961 |
3,759 |
$227K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,673 |
1,641 |
$55K |
| 64483 |
|
193 |
192 |
$32K |
| 62323 |
|
146 |
146 |
$25K |
| 99152 |
|
353 |
353 |
$15K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,059 |
930 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
95 |
95 |
$14K |
| 64484 |
|
193 |
192 |
$13K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
834 |
831 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$8K |
| 20552 |
|
155 |
152 |
$6K |
| 64493 |
|
46 |
45 |
$5K |
| 64494 |
|
46 |
45 |
$3K |
| A4550 |
Surgical trays |
135 |
135 |
$2K |
| 80305 |
|
283 |
277 |
$1K |
| 64495 |
|
26 |
26 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
175 |
171 |
$923.29 |
| A4246 |
Betadine or phisohex solution, per pint |
139 |
139 |
$246.84 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
37 |
37 |
$59.10 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
46 |
45 |
$0.36 |