| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,757 |
6,153 |
$370K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,101 |
3,818 |
$67K |
| 93923 |
|
189 |
179 |
$58K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
157 |
155 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
520 |
323 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,938 |
1,505 |
$18K |
| 20550 |
|
185 |
96 |
$15K |
| 20611 |
|
61 |
42 |
$6K |
| 72110 |
|
249 |
240 |
$6K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,230 |
1,528 |
$5K |
| 93970 |
|
679 |
399 |
$5K |
| 64493 |
|
23 |
12 |
$4K |
| 64483 |
|
68 |
39 |
$3K |
| 76942 |
|
237 |
203 |
$3K |
| 93925 |
|
359 |
196 |
$3K |
| 95910 |
|
13 |
13 |
$2K |
| 72114 |
|
530 |
302 |
$2K |
| 20610 |
|
25 |
24 |
$2K |
| 76881 |
|
257 |
159 |
$1K |
| 72050 |
|
26 |
25 |
$1K |
| 95886 |
|
185 |
138 |
$902.43 |
| 72052 |
|
40 |
26 |
$650.86 |
| 64484 |
|
95 |
50 |
$361.52 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,855 |
1,430 |
$88.29 |
| 72170 |
|
27 |
27 |
$86.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
83 |
72 |
$5.09 |
| 64495 |
|
22 |
12 |
$0.00 |
| 99354 |
|
28 |
26 |
$0.00 |
| 77003 |
|
19 |
15 |
$0.00 |
| 96132 |
|
29 |
17 |
$0.00 |
| 99000 |
|
412 |
346 |
$0.00 |
| 64494 |
|
22 |
12 |
$0.00 |
| 96146 |
|
28 |
16 |
$0.00 |