| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
1,646 |
1,309 |
$212K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,981 |
3,915 |
$172K |
| S9328 |
Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
647 |
322 |
$134K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,726 |
2,133 |
$103K |
| 76942 |
|
3,575 |
2,241 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,277 |
2,153 |
$86K |
| 62370 |
|
3,317 |
2,154 |
$79K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,652 |
927 |
$48K |
| 62323 |
|
474 |
276 |
$31K |
| A4220 |
Refill kit for implantable infusion pump |
731 |
298 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
334 |
254 |
$23K |
| 99601 |
|
944 |
408 |
$17K |
| 62368 |
|
1,021 |
378 |
$12K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
266 |
205 |
$2K |
| 95909 |
|
20 |
15 |
$2K |
| 95943 |
|
30 |
28 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
16 |
12 |
$925.31 |
| G0659 |
Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes |
14 |
13 |
$646.23 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$525.17 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
319 |
208 |
$189.86 |
| 93040 |
|
17 |
12 |
$104.90 |
| A4550 |
Surgical trays |
173 |
130 |
$0.00 |