| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,645 |
35,820 |
$2.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,815 |
17,693 |
$2.13M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
22,517 |
19,760 |
$857K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,765 |
3,465 |
$203K |
| 99152 |
|
1,159 |
917 |
$45K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,979 |
3,217 |
$24K |
| 20611 |
|
245 |
216 |
$22K |
| 64722 |
|
75 |
27 |
$20K |
| 62323 |
|
59 |
55 |
$14K |
| 64635 |
|
30 |
25 |
$11K |
| 27096 |
|
42 |
40 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
58 |
$7K |
| 99406 |
|
809 |
563 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
62 |
$6K |
| 20553 |
|
50 |
46 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
745 |
721 |
$3K |
| 95886 |
|
13 |
12 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,915 |
1,602 |
$1K |
| 80305 |
|
251 |
211 |
$1K |
| 76942 |
|
13 |
12 |
$555.42 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
417 |
350 |
$203.50 |
| 99153 |
Mod sedat endo service >5yrs |
19 |
13 |
$192.43 |
| 99441 |
|
21 |
15 |
$171.90 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
250 |
215 |
$73.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
38 |
33 |
$67.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24 |
14 |
$13.87 |
| J7050 |
Infusion, normal saline solution, 250 cc |
266 |
221 |
$2.19 |