| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
1,544 |
694 |
$185K |
| 27096 |
|
167 |
160 |
$30K |
| 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 |
16 |
13 |
$11K |
| 20553 |
|
386 |
338 |
$9K |
| 64493 |
|
124 |
99 |
$7K |
| 64494 |
|
124 |
99 |
$4K |
| 20611 |
|
114 |
83 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
139 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
90 |
$3K |
| 76942 |
|
228 |
194 |
$2K |
| 82962 |
|
270 |
235 |
$475.17 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
118 |
108 |
$396.66 |
| 81025 |
|
57 |
51 |
$273.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
231 |
189 |
$268.42 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
114 |
92 |
$249.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$157.86 |