| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,736 |
34,955 |
$5.23M |
| 99215 |
Prolong outpt/office vis |
4,769 |
4,444 |
$769K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25,330 |
22,287 |
$641K |
| 76942 |
|
10,562 |
9,576 |
$625K |
| 20553 |
|
9,180 |
8,870 |
$576K |
| L1686 |
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment |
372 |
371 |
$446K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,964 |
3,377 |
$308K |
| 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 |
248 |
247 |
$289K |
| 99205 |
Prolong outpt/office vis |
1,222 |
1,219 |
$249K |
| 20611 |
|
2,349 |
2,126 |
$218K |
| 64445 |
|
870 |
819 |
$124K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
334 |
334 |
$118K |
| 64615 |
|
571 |
569 |
$93K |
| 64493 |
|
484 |
424 |
$89K |
| L0637 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on 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 |
62 |
62 |
$86K |
| 64418 |
|
852 |
786 |
$77K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
566 |
566 |
$44K |
| 64494 |
|
483 |
424 |
$37K |
| L0648 |
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, off-the-shelf |
33 |
33 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
133 |
$22K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
836 |
824 |
$16K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
123 |
112 |
$14K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12,834 |
12,424 |
$13K |
| 64450 |
|
180 |
159 |
$13K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
30 |
28 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,953 |
6,929 |
$5K |
| L0120 |
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) |
166 |
165 |
$4K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
18 |
17 |
$4K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
103 |
101 |
$3K |
| 76000 |
|
58 |
54 |
$3K |
| 99152 |
|
182 |
177 |
$3K |
| 64400 |
|
22 |
12 |
$2K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
18 |
17 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,673 |
4,128 |
$2K |
| 20552 |
|
31 |
29 |
$2K |
| 99406 |
|
102 |
83 |
$2K |
| 99407 |
|
52 |
41 |
$1K |
| 62323 |
|
12 |
12 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
688 |
677 |
$701.88 |
| 64495 |
|
12 |
12 |
$465.36 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,455 |
2,163 |
$121.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
257 |
232 |
$23.30 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
469 |
402 |
$3.53 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
158 |
136 |
$0.00 |
| 4004F |
|
142 |
135 |
$0.00 |
| 1036F |
|
520 |
476 |
$0.00 |
| 4000F |
|
1,328 |
1,080 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
19 |
17 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
39 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
190 |
168 |
$0.00 |