| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,722 |
1,380 |
$62K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
608 |
459 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
91 |
$8K |
| 64450 |
|
305 |
182 |
$8K |
| 80305 |
|
1,083 |
803 |
$8K |
| 20553 |
|
40 |
30 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
483 |
318 |
$954.46 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$886.97 |
| 20552 |
|
15 |
12 |
$377.07 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$33.28 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
13 |
13 |
$0.74 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
33 |
27 |
$0.00 |
| 0521F |
|
41 |
39 |
$0.00 |
| G9365 |
One high-risk medication ordered |
32 |
27 |
$0.00 |