| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,174 |
9,863 |
$33K |
| 62323 |
|
2,168 |
2,140 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,183 |
3,169 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,374 |
10,870 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,909 |
1,900 |
$6K |
| 64493 |
|
681 |
493 |
$6K |
| 64483 |
|
410 |
384 |
$5K |
| 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 |
37 |
37 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
487 |
487 |
$2K |
| 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 |
57 |
55 |
$2K |
| 64494 |
|
677 |
489 |
$2K |
| 64495 |
|
566 |
414 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,301 |
1,281 |
$1K |
| 64484 |
|
173 |
156 |
$1K |
| 20611 |
|
280 |
268 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,776 |
1,742 |
$823.32 |
| 62321 |
|
49 |
49 |
$623.41 |
| 77002 |
|
259 |
245 |
$533.74 |
| 64490 |
|
42 |
29 |
$529.11 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
962 |
933 |
$490.08 |
| 20610 |
|
345 |
313 |
$436.08 |
| 20553 |
|
99 |
99 |
$291.08 |
| 64491 |
|
42 |
29 |
$246.18 |
| 64635 |
|
86 |
71 |
$195.34 |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
32 |
32 |
$191.29 |
| 76942 |
|
26 |
26 |
$163.45 |
| 64492 |
|
40 |
28 |
$160.77 |
| 98977 |
|
31 |
31 |
$159.82 |
| 98975 |
|
64 |
63 |
$102.42 |
| 64636 |
|
86 |
71 |
$51.31 |
| 96127 |
|
148 |
140 |
$7.21 |
| 72100 |
|
14 |
14 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
12 |
12 |
$0.00 |
| 90785 |
|
12 |
12 |
$0.00 |