| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,525 |
36,502 |
$1.43M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
19,496 |
17,668 |
$765K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,925 |
8,111 |
$462K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,853 |
2,621 |
$204K |
| 27096 |
|
1,492 |
1,337 |
$169K |
| 64493 |
|
1,802 |
1,570 |
$92K |
| 93923 |
|
954 |
507 |
$79K |
| 62323 |
|
559 |
539 |
$75K |
| 90791 |
Psychiatric diagnostic evaluation |
912 |
846 |
$68K |
| 64635 |
|
448 |
398 |
$43K |
| 64494 |
|
1,632 |
1,434 |
$43K |
| 64495 |
|
812 |
666 |
$27K |
| 95923 |
|
649 |
568 |
$26K |
| 95924 |
|
388 |
358 |
$25K |
| 64636 |
|
473 |
408 |
$23K |
| 20611 |
|
261 |
234 |
$14K |
| 99215 |
Prolong outpt/office vis |
152 |
137 |
$13K |
| L0639 |
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, 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 |
15 |
15 |
$12K |
| 99406 |
|
1,019 |
948 |
$9K |
| 95921 |
|
223 |
211 |
$8K |
| 93922 |
|
119 |
117 |
$8K |
| 20553 |
|
182 |
154 |
$6K |
| 64483 |
|
110 |
109 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
268 |
255 |
$3K |
| J3490 |
Unclassified drugs |
4,796 |
4,064 |
$3K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
152 |
127 |
$3K |
| 76942 |
|
103 |
90 |
$2K |
| 64490 |
|
27 |
26 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
34 |
31 |
$1K |
| 64484 |
|
40 |
40 |
$1K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
22 |
12 |
$1K |
| 81025 |
|
177 |
161 |
$1K |
| 62370 |
|
30 |
24 |
$910.60 |
| 64491 |
|
26 |
25 |
$768.12 |
| 64492 |
|
12 |
12 |
$525.67 |
| 93040 |
|
70 |
68 |
$452.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,459 |
3,816 |
$417.18 |
| 99401 |
|
22 |
22 |
$353.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$336.84 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44,898 |
39,183 |
$135.19 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,210 |
2,025 |
$24.95 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
18,556 |
15,762 |
$21.25 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
34 |
34 |
$3.93 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
528 |
487 |
$0.33 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
81 |
81 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
49 |
46 |
$0.00 |
| 3288F |
|
59 |
55 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
113 |
101 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
42 |
40 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
80 |
79 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
15 |
15 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
491 |
472 |
$0.00 |
| A4630 |
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
22 |
13 |
$0.00 |