| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
32,704 |
8,694 |
$762K |
| 99232 |
|
14,598 |
3,712 |
$221K |
| 99223 |
Prolong inpt eval add15 m |
5,411 |
4,573 |
$209K |
| 99255 |
|
1,532 |
1,200 |
$140K |
| 99291 |
|
1,099 |
258 |
$74K |
| 99231 |
|
4,263 |
615 |
$60K |
| 99222 |
|
1,821 |
1,632 |
$44K |
| 99309 |
|
7,889 |
5,176 |
$44K |
| 99254 |
|
382 |
316 |
$39K |
| 99308 |
|
12,419 |
7,507 |
$38K |
| 99306 |
Prolong nursin fac eval 15m |
3,091 |
2,623 |
$27K |
| 99205 |
Prolong outpt/office vis |
344 |
297 |
$12K |
| 99214 |
|
5,205 |
4,345 |
$9K |
| 99215 |
Prolong outpt/office vis |
388 |
264 |
$7K |
| 99305 |
|
1,302 |
1,038 |
$6K |
| 99213 |
|
7,208 |
6,088 |
$6K |
| 99204 |
|
258 |
202 |
$5K |
| 80307 |
|
2,303 |
2,094 |
$2K |
| 99335 |
|
389 |
247 |
$2K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
95 |
75 |
$1K |
| 99334 |
|
205 |
148 |
$738.11 |
| 62323 |
|
220 |
192 |
$634.93 |
| L0637 |
Lso sc r ant/pos pnl pre cst |
23 |
17 |
$549.58 |
| G0483 |
Drug test def 22+ classes |
673 |
613 |
$322.83 |
| J3301 |
Triamcinolone acet inj nos |
1,590 |
1,316 |
$321.47 |
| 99336 |
|
340 |
238 |
$171.54 |
| 99307 |
|
159 |
119 |
$114.98 |
| 20610 |
|
27 |
24 |
$44.07 |
| G0481 |
Drug test def 8-14 classes |
232 |
208 |
$1.98 |
| 99349 |
|
318 |
268 |
$0.00 |
| 80305 |
|
251 |
243 |
$0.00 |
| 77002 |
|
27 |
24 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
82 |
59 |
$0.00 |
| G0482 |
Drug test def 15-21 classes |
428 |
407 |
$0.00 |
| 99348 |
|
172 |
139 |
$0.00 |
| 96138 |
|
34 |
31 |
$0.00 |
| G0452 |
Molecular pathology interpr |
26 |
26 |
$0.00 |