| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
106 |
103 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
56 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 96127 |
|
115 |
45 |
$341.09 |
| 80305 |
|
14 |
13 |
$337.68 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
69 |
57 |
$31.12 |