| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,462 |
2,316 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,519 |
1,449 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,786 |
1,715 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
54 |
$5K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99406 |
|
124 |
118 |
$816.74 |
| 99441 |
|
94 |
89 |
$579.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
130 |
128 |
$544.41 |
| 99442 |
|
37 |
35 |
$377.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$227.20 |
| 96127 |
|
21 |
21 |
$53.92 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
96 |
95 |
$37.43 |
| J3490 |
Unclassified drugs |
123 |
65 |
$15.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
28 |
$7.54 |
| 99072 |
|
177 |
167 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
18 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
88 |
87 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
42 |
41 |
$0.00 |