| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,023 |
3,917 |
$197K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,736 |
2,667 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,242 |
1,216 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
26 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
321 |
281 |
$214.51 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
15 |
13 |
$26.20 |