| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,621 |
2,404 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,058 |
1,915 |
$144K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
257 |
249 |
$42K |
| 64483 |
|
181 |
158 |
$37K |
| 64635 |
|
63 |
55 |
$9K |
| 20611 |
|
80 |
71 |
$7K |
| 20610 |
|
94 |
80 |
$5K |
| 64484 |
|
84 |
74 |
$5K |
| 64636 |
|
62 |
55 |
$5K |
| 64494 |
|
32 |
31 |
$4K |
| 95886 |
|
12 |
12 |
$2K |
| 20553 |
|
27 |
27 |
$1K |
| 64493 |
|
32 |
31 |
$508.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
348 |
297 |
$0.00 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
46 |
38 |
$0.00 |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 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 |
13 |
13 |
$0.00 |