| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,998 |
4,432 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$2K |
| 80305 |
|
596 |
569 |
$723.48 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
93 |
91 |
$226.20 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
446 |
388 |
$82.43 |
| 99152 |
|
90 |
71 |
$53.06 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
194 |
180 |
$2.56 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
80 |
65 |
$0.00 |
| 96103 |
|
15 |
15 |
$0.00 |