| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
1,552 |
1,552 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,706 |
8,529 |
$878K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,304 |
12,829 |
$805K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,258 |
3,257 |
$429K |
| 64635 |
|
2,716 |
1,584 |
$370K |
| 64483 |
|
3,769 |
2,291 |
$260K |
| 64493 |
|
3,036 |
1,773 |
$182K |
| 64636 |
|
2,664 |
1,549 |
$106K |
| 64494 |
|
2,923 |
1,702 |
$99K |
| 64484 |
|
2,878 |
1,775 |
$90K |
| 27096 |
|
1,597 |
1,048 |
$90K |
| 72110 |
|
2,948 |
2,948 |
$85K |
| 64495 |
|
2,175 |
1,183 |
$82K |
| 72170 |
|
3,429 |
3,425 |
$51K |
| 20610 |
|
888 |
673 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
364 |
364 |
$32K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,259 |
6,135 |
$31K |
| 72050 |
|
1,114 |
1,114 |
$30K |
| 72100 |
|
498 |
498 |
$12K |
| 64490 |
|
159 |
95 |
$10K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
895 |
883 |
$8K |
| 64491 |
|
155 |
93 |
$5K |
| 64492 |
|
24 |
12 |
$1K |
| 72070 |
|
43 |
43 |
$604.85 |