| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,847 |
11,946 |
$1.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,875 |
14,701 |
$1.02M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,414 |
14,470 |
$939K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,101 |
17,460 |
$881K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
15,180 |
5,259 |
$483K |
| 95886 |
|
2,500 |
1,848 |
$163K |
| 20610 |
|
2,912 |
2,270 |
$68K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
645 |
565 |
$60K |
| 73630 |
|
2,810 |
1,950 |
$48K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,447 |
936 |
$45K |
| 97161 |
|
781 |
655 |
$43K |
| 73610 |
|
2,329 |
1,750 |
$42K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,550 |
672 |
$42K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,567 |
2,013 |
$36K |
| 73110 |
|
1,834 |
1,304 |
$36K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
849 |
401 |
$24K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
219 |
206 |
$23K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
520 |
423 |
$20K |
| 64483 |
|
134 |
121 |
$19K |
| 72100 |
|
1,230 |
1,078 |
$17K |
| 73564 |
|
817 |
621 |
$14K |
| 99215 |
Prolong outpt/office vis |
174 |
148 |
$12K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
547 |
424 |
$10K |
| 77002 |
|
138 |
119 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
272 |
$8K |
| 95911 |
|
79 |
55 |
$7K |
| 62323 |
|
47 |
44 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
131 |
119 |
$6K |
| 95910 |
|
44 |
39 |
$5K |
| 72110 |
|
172 |
158 |
$5K |
| 73130 |
|
396 |
299 |
$4K |
| 95909 |
|
45 |
38 |
$4K |
| 73030 |
|
370 |
289 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,041 |
782 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
377 |
319 |
$2K |
| 72170 |
|
245 |
219 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
175 |
153 |
$2K |
| 73502 |
|
156 |
134 |
$2K |
| 73140 |
|
220 |
176 |
$2K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
94 |
85 |
$2K |
| 73560 |
|
185 |
120 |
$2K |
| 99205 |
Prolong outpt/office vis |
20 |
12 |
$2K |
| 73221 |
|
17 |
14 |
$1K |
| 73562 |
|
117 |
86 |
$1K |
| 01810 |
|
16 |
12 |
$1K |
| 73100 |
|
68 |
54 |
$1K |
| 76942 |
|
75 |
57 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
36 |
27 |
$1K |
| 29075 |
|
34 |
24 |
$851.12 |
| 97165 |
|
18 |
14 |
$675.60 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
17 |
14 |
$643.38 |
| 20605 |
|
47 |
25 |
$637.77 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
58 |
39 |
$559.95 |
| A4565 |
Slings |
56 |
41 |
$165.57 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
62 |
54 |
$95.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69 |
53 |
$7.09 |
| 64721 |
|
13 |
12 |
$0.00 |