| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,654 |
13,091 |
$1.19M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12,512 |
10,625 |
$243K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
436 |
420 |
$111K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,044 |
1,176 |
$111K |
| 97161 |
|
1,430 |
1,409 |
$87K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
452 |
444 |
$78K |
| 72141 |
|
243 |
242 |
$61K |
| 64483 |
|
137 |
131 |
$55K |
| 97162 |
|
906 |
887 |
$53K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,470 |
1,423 |
$50K |
| 73221 |
|
172 |
170 |
$41K |
| 20610 |
|
2,002 |
1,554 |
$37K |
| 97010 |
|
1,144 |
411 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
565 |
459 |
$19K |
| 64493 |
|
81 |
80 |
$19K |
| 73562 |
|
1,303 |
1,140 |
$18K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
810 |
281 |
$17K |
| 73630 |
|
1,114 |
907 |
$12K |
| 99201 |
|
624 |
610 |
$12K |
| 72100 |
|
473 |
464 |
$10K |
| 73610 |
|
482 |
426 |
$8K |
| 97164 |
|
239 |
236 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
145 |
$8K |
| 95886 |
|
222 |
208 |
$8K |
| 73030 |
|
583 |
542 |
$8K |
| 72110 |
|
366 |
349 |
$8K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
879 |
332 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
714 |
701 |
$7K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
13 |
13 |
$6K |
| 73502 |
|
329 |
315 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
71 |
71 |
$6K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
15 |
15 |
$5K |
| 72040 |
|
326 |
316 |
$5K |
| 73130 |
|
414 |
318 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,156 |
1,048 |
$4K |
| 98940 |
|
328 |
110 |
$4K |
| 76536 |
|
71 |
71 |
$3K |
| 11721 |
|
496 |
492 |
$3K |
| 73110 |
|
310 |
273 |
$3K |
| 72050 |
|
132 |
128 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
60 |
$3K |
| 20550 |
|
115 |
105 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
232 |
224 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
569 |
551 |
$3K |
| 98942 |
|
644 |
298 |
$3K |
| 20552 |
|
104 |
103 |
$2K |
| 97163 |
|
48 |
48 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
29 |
27 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
133 |
132 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
64 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
71 |
71 |
$2K |
| 20605 |
|
64 |
62 |
$1K |
| 90686 |
|
120 |
119 |
$1K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
18 |
12 |
$1K |
| 11056 |
|
94 |
92 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
64 |
27 |
$1K |
| 97165 |
|
18 |
18 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
98 |
97 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
178 |
173 |
$1K |
| 95909 |
|
26 |
26 |
$987.38 |
| 99195 |
|
93 |
90 |
$893.45 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$852.67 |
| 73560 |
|
61 |
52 |
$795.06 |
| 97166 |
|
12 |
12 |
$790.14 |
| 73080 |
|
73 |
68 |
$672.57 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,480 |
1,243 |
$583.97 |
| 72070 |
|
32 |
31 |
$545.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
39 |
$497.56 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
75 |
63 |
$480.25 |
| 73140 |
|
28 |
25 |
$249.75 |
| J2704 |
Injection, propofol, 10 mg |
775 |
400 |
$182.77 |
| Q3014 |
Telehealth originating site facility fee |
206 |
168 |
$150.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
513 |
390 |
$133.67 |
| 99221 |
|
14 |
14 |
$96.18 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$64.80 |
| J3490 |
Unclassified drugs |
22 |
13 |
$56.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
19 |
$44.80 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
114 |
95 |
$32.41 |
| 82947 |
|
13 |
13 |
$29.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
151 |
127 |
$20.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
34 |
27 |
$10.84 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
139 |
116 |
$4.15 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
49 |
42 |
$1.80 |