| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,269 |
8,347 |
$289K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,451 |
5,011 |
$181K |
| 76942 |
|
1,045 |
838 |
$19K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,867 |
1,572 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
242 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
64 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$5K |
| 20553 |
|
582 |
435 |
$3K |
| 96136 |
|
209 |
177 |
$3K |
| 62369 |
|
194 |
151 |
$2K |
| 96127 |
|
302 |
254 |
$1K |
| 62370 |
|
63 |
53 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
127 |
100 |
$930.41 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
366 |
270 |
$714.48 |
| 96102 |
|
55 |
53 |
$361.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
53 |
$214.30 |
| 96103 |
|
144 |
110 |
$182.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,347 |
674 |
$140.23 |
| 3725F |
|
44 |
32 |
$0.00 |
| A4220 |
Refill kit for implantable infusion pump |
48 |
44 |
$0.00 |