| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 20553 |
|
61,709 |
56,551 |
$2.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83,674 |
76,952 |
$2.64M |
| 62323 |
|
10,608 |
10,492 |
$1.59M |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60,777 |
55,826 |
$249K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
311 |
301 |
$177K |
| 72275 |
|
7,811 |
7,721 |
$158K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,821 |
2,812 |
$122K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13,191 |
13,044 |
$117K |
| 80305 |
|
10,161 |
9,945 |
$64K |
| 64483 |
|
947 |
935 |
$58K |
| 64484 |
|
992 |
980 |
$42K |
| 76942 |
|
2,492 |
2,458 |
$30K |
| 64493 |
|
943 |
929 |
$30K |
| 27096 |
|
471 |
470 |
$26K |
| 64494 |
|
925 |
911 |
$7K |
| 76000 |
|
1,699 |
1,659 |
$7K |
| 64495 |
|
661 |
651 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
49 |
$1K |
| 99205 |
Prolong outpt/office vis |
18 |
18 |
$1K |
| 99443 |
|
25 |
25 |
$232.00 |
| 77003 |
|
44 |
44 |
$0.00 |
| 64491 |
|
14 |
14 |
$0.00 |
| L0631 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
12 |
12 |
$0.00 |
| 64492 |
|
14 |
14 |
$0.00 |
| 64490 |
|
14 |
14 |
$0.00 |