| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,386 |
6,956 |
$388K |
| 94690 |
|
2,276 |
2,159 |
$78K |
| 92548 |
|
1,948 |
1,590 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,539 |
1,917 |
$67K |
| 95923 |
|
1,191 |
1,019 |
$47K |
| 94375 |
|
2,265 |
2,154 |
$33K |
| 95921 |
|
864 |
804 |
$24K |
| 99490 |
Ccm add 20min |
2,376 |
2,336 |
$23K |
| 94200 |
|
2,264 |
2,154 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
169 |
$16K |
| 99215 |
Prolong outpt/office vis |
320 |
245 |
$16K |
| 93000 |
|
1,235 |
1,049 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
148 |
$8K |
| 93923 |
|
415 |
368 |
$7K |
| 95957 |
|
137 |
21 |
$6K |
| 92540 |
|
177 |
161 |
$6K |
| 96132 |
|
1,203 |
1,045 |
$6K |
| 93922 |
|
711 |
578 |
$6K |
| 92546 |
|
210 |
159 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
837 |
613 |
$3K |
| 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 |
13 |
13 |
$2K |
| 99205 |
Prolong outpt/office vis |
20 |
16 |
$2K |
| 96119 |
|
428 |
256 |
$2K |
| 99457 |
|
192 |
192 |
$1K |
| 99454 |
|
139 |
139 |
$1K |
| 99358 |
Prolong nursin fac eval 15m |
204 |
134 |
$1K |
| 96138 |
|
1,192 |
1,041 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$1K |
| 96102 |
|
417 |
257 |
$1K |
| 99483 |
Prolong outpt/office vis |
42 |
24 |
$1K |
| 96136 |
|
369 |
327 |
$973.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
605 |
463 |
$632.45 |
| 95943 |
|
313 |
211 |
$584.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
151 |
134 |
$537.29 |
| 99458 |
|
53 |
53 |
$400.43 |
| 72100 |
|
14 |
14 |
$360.54 |
| 92547 |
|
161 |
146 |
$328.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
42 |
$254.59 |
| 99497 |
|
30 |
17 |
$211.90 |
| 99453 |
|
56 |
56 |
$143.35 |
| 99439 |
|
12 |
12 |
$57.00 |
| 95970 |
|
26 |
24 |
$40.26 |
| 95971 |
|
27 |
24 |
$26.22 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
24 |
17 |
$23.62 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$16.10 |
| 96160 |
|
98 |
55 |
$11.95 |
| 82962 |
|
364 |
128 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
141 |
140 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
115 |
59 |
$0.00 |
| 64555 |
|
105 |
95 |
$0.00 |
| 1111F |
|
28 |
24 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
43 |
15 |
$0.00 |
| 82948 |
|
830 |
621 |
$0.00 |
| L8679 |
Implantable neurostimulator, pulse generator, any type |
180 |
164 |
$0.00 |
| 1100F |
|
43 |
26 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
100 |
57 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
51 |
43 |
$0.00 |
| 95816 |
|
29 |
17 |
$0.00 |