| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,689 |
25,660 |
$1.06M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14,174 |
12,888 |
$943K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,835 |
32,067 |
$815K |
| 20610 |
|
15,755 |
12,756 |
$430K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
769 |
714 |
$231K |
| 62323 |
|
1,526 |
1,401 |
$204K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,979 |
1,750 |
$107K |
| 64493 |
|
717 |
631 |
$89K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
266 |
256 |
$77K |
| 72100 |
|
3,957 |
3,578 |
$64K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
5,485 |
4,894 |
$47K |
| 73560 |
|
3,860 |
2,993 |
$46K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
5,423 |
4,562 |
$46K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
6,915 |
6,480 |
$46K |
| 99215 |
Prolong outpt/office vis |
796 |
749 |
$44K |
| 64494 |
|
721 |
630 |
$43K |
| 72141 |
|
133 |
129 |
$41K |
| 64635 |
|
152 |
144 |
$40K |
| 64495 |
|
681 |
596 |
$34K |
| 64636 |
|
153 |
144 |
$30K |
| 73630 |
|
1,692 |
1,367 |
$26K |
| 73221 |
|
80 |
78 |
$22K |
| J3304 |
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg |
36 |
31 |
$19K |
| 72040 |
|
1,044 |
931 |
$16K |
| 73610 |
|
969 |
797 |
$15K |
| 62321 |
|
100 |
94 |
$13K |
| 29580 |
|
394 |
307 |
$11K |
| 73110 |
|
665 |
542 |
$10K |
| 64721 |
|
44 |
38 |
$9K |
| 80305 |
|
1,183 |
1,078 |
$9K |
| 72158 |
|
12 |
12 |
$8K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
113 |
30 |
$7K |
| 73130 |
|
239 |
194 |
$4K |
| 22853 |
|
41 |
14 |
$3K |
| 64445 |
|
83 |
70 |
$3K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
23 |
12 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
242 |
109 |
$3K |
| 77002 |
|
88 |
82 |
$2K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
375 |
343 |
$2K |
| 73020 |
|
192 |
162 |
$2K |
| 73564 |
|
116 |
96 |
$2K |
| 72114 |
|
60 |
52 |
$2K |
| 99442 |
|
44 |
42 |
$2K |
| 73502 |
|
112 |
87 |
$2K |
| 73030 |
|
105 |
90 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$1K |
| 99441 |
|
41 |
38 |
$1K |
| 73620 |
|
16 |
15 |
$296.18 |
| 99406 |
|
35 |
32 |
$241.88 |
| 29540 |
|
29 |
25 |
$164.27 |