| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,519 |
11,853 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,879 |
2,460 |
$86K |
| 95913 |
|
172 |
159 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
426 |
384 |
$37K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
86 |
83 |
$33K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
841 |
376 |
$26K |
| 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 |
21 |
13 |
$18K |
| 95910 |
|
72 |
67 |
$15K |
| 95819 |
|
45 |
43 |
$13K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,837 |
3,503 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
92 |
71 |
$7K |
| 95886 |
|
429 |
318 |
$4K |
| 95811 |
|
14 |
13 |
$3K |
| 64493 |
|
13 |
12 |
$3K |
| 99334 |
|
139 |
132 |
$2K |
| 62323 |
|
14 |
14 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 97162 |
|
31 |
30 |
$819.34 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$376.65 |
| 20611 |
|
25 |
14 |
$295.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
164 |
$188.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
158 |
139 |
$46.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
651 |
501 |
$17.38 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
45 |
25 |
$0.00 |
| 64494 |
|
13 |
12 |
$0.00 |
| 64495 |
|
13 |
12 |
$0.00 |