| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,318 |
26,083 |
$1.62M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12,785 |
12,447 |
$699K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,248 |
3,186 |
$307K |
| 95912 |
|
1,465 |
1,194 |
$279K |
| 64493 |
|
1,282 |
1,221 |
$236K |
| 64636 |
|
653 |
621 |
$212K |
| 95886 |
|
1,555 |
1,194 |
$206K |
| 64635 |
|
649 |
622 |
$194K |
| 64495 |
|
733 |
726 |
$152K |
| 99152 |
|
4,140 |
3,826 |
$149K |
| 64494 |
|
1,284 |
1,221 |
$122K |
| 99215 |
Prolong outpt/office vis |
911 |
911 |
$114K |
| 99153 |
Mod sedat endo service >5yrs |
4,136 |
3,824 |
$53K |
| 64483 |
|
333 |
299 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
416 |
416 |
$53K |
| 99443 |
|
674 |
665 |
$46K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
3,865 |
3,514 |
$37K |
| J2310 |
Injection, naloxone hydrochloride, per 1 mg |
2,742 |
2,582 |
$29K |
| 64484 |
|
320 |
287 |
$22K |
| 64479 |
|
82 |
70 |
$14K |
| 96127 |
|
2,287 |
2,156 |
$8K |
| 64480 |
|
82 |
70 |
$7K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,708 |
3,401 |
$3K |
| 77003 |
|
30 |
30 |
$3K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
4,027 |
3,658 |
$988.97 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
893 |
758 |
$397.02 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
46 |
45 |
$243.54 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,783 |
2,622 |
$230.54 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
14 |
14 |
$145.60 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
15 |
15 |
$93.01 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,171 |
2,086 |
$71.54 |