| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,881 |
6,842 |
$618K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,402 |
7,722 |
$457K |
| 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 |
1,851 |
1,387 |
$439K |
| 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 |
233 |
185 |
$168K |
| 20610 |
|
3,741 |
2,728 |
$133K |
| L1843 |
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
315 |
204 |
$123K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
590 |
423 |
$93K |
| 72110 |
|
3,271 |
2,531 |
$80K |
| 73562 |
|
2,057 |
1,518 |
$36K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
596 |
516 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
492 |
425 |
$24K |
| 72040 |
|
1,679 |
1,146 |
$23K |
| 73030 |
|
1,509 |
1,132 |
$22K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
421 |
294 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
602 |
506 |
$19K |
| 73560 |
|
838 |
718 |
$18K |
| 73130 |
|
922 |
654 |
$13K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
113 |
75 |
$6K |
| 73630 |
|
287 |
225 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
71 |
66 |
$4K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
21 |
14 |
$3K |
| 73610 |
|
168 |
140 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
108 |
$3K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
32 |
28 |
$2K |
| 73502 |
|
70 |
62 |
$2K |
| L0625 |
Lumbar orthosis, flexible, provides lumbar support, 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 pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf |
30 |
27 |
$923.75 |
| 73120 |
|
35 |
31 |
$890.46 |
| 73110 |
|
45 |
40 |
$872.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,280 |
2,873 |
$830.14 |
| 95907 |
|
31 |
28 |
$498.57 |
| 73600 |
|
25 |
25 |
$419.04 |
| 73521 |
|
33 |
14 |
$381.92 |
| 73100 |
|
15 |
14 |
$322.56 |
| 99401 |
|
20 |
16 |
$295.80 |