| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
1,419 |
850 |
$189K |
| 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 |
348 |
250 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,595 |
4,461 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,602 |
1,781 |
$42K |
| 99205 |
Prolong outpt/office vis |
675 |
493 |
$25K |
| 64493 |
|
968 |
479 |
$20K |
| 62321 |
|
264 |
126 |
$19K |
| 20552 |
|
941 |
646 |
$14K |
| 64494 |
|
970 |
479 |
$9K |
| 64495 |
|
803 |
404 |
$6K |
| J7999 |
Compounded drug, not otherwise classified |
353 |
150 |
$4K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
53 |
39 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
245 |
123 |
$1K |
| 72100 |
|
327 |
241 |
$714.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
428 |
266 |
$566.62 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
151 |
106 |
$363.30 |
| 72040 |
|
195 |
136 |
$359.50 |
| 96146 |
|
675 |
494 |
$235.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$30.72 |