| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,734 |
47,544 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,320 |
27,095 |
$144K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27,367 |
25,992 |
$91K |
| 64483 |
|
3,554 |
3,158 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,147 |
961 |
$12K |
| 64484 |
|
3,283 |
2,904 |
$6K |
| 80305 |
|
8,827 |
5,790 |
$5K |
| 20610 |
|
1,264 |
1,081 |
$4K |
| 64635 |
|
207 |
154 |
$3K |
| 99152 |
|
1,278 |
956 |
$2K |
| 64636 |
|
204 |
154 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
162 |
$1K |
| 77002 |
|
1,141 |
985 |
$1K |
| 64493 |
|
65 |
51 |
$787.50 |
| 62321 |
|
343 |
321 |
$701.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,343 |
4,691 |
$650.77 |
| 64494 |
|
65 |
51 |
$424.75 |
| 64495 |
|
48 |
38 |
$377.25 |
| J3490 |
Unclassified drugs |
2,108 |
650 |
$43.69 |
| 99406 |
|
948 |
856 |
$3.48 |
| 99153 |
Mod sedat endo service >5yrs |
83 |
69 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
283 |
212 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
67 |
62 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
477 |
405 |
$0.00 |