| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
82 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
57 |
57 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
83 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
20 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
42 |
25 |
$0.63 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
19 |
14 |
$0.00 |