| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,506 |
19,557 |
$1.36M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12,425 |
12,319 |
$1.10M |
| 29075 |
|
14,785 |
10,692 |
$707K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,657 |
11,564 |
$561K |
| 73130 |
|
22,902 |
17,250 |
$456K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,727 |
5,676 |
$332K |
| 73110 |
|
11,422 |
8,671 |
$251K |
| 64721 |
|
1,258 |
1,202 |
$231K |
| 76942 |
|
7,760 |
7,484 |
$209K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
14,537 |
10,530 |
$197K |
| 26440 |
|
376 |
260 |
$177K |
| 20680 |
|
875 |
796 |
$165K |
| 20526 |
|
4,072 |
3,369 |
$152K |
| 76881 |
|
3,892 |
3,124 |
$133K |
| 20550 |
|
5,449 |
4,543 |
$124K |
| 26445 |
|
280 |
236 |
$112K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
10,974 |
10,115 |
$90K |
| 29130 |
|
2,216 |
1,760 |
$50K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
651 |
178 |
$38K |
| 20611 |
|
718 |
600 |
$35K |
| 76882 |
|
1,115 |
956 |
$34K |
| 29125 |
|
829 |
696 |
$32K |
| 73564 |
|
1,229 |
1,031 |
$31K |
| 26600 |
|
191 |
184 |
$31K |
| 29085 |
|
379 |
291 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
851 |
797 |
$22K |
| 20604 |
|
613 |
507 |
$22K |
| 73030 |
|
1,010 |
908 |
$19K |
| 29280 |
|
1,058 |
950 |
$17K |
| 20606 |
|
499 |
440 |
$17K |
| 25295 |
|
16 |
13 |
$9K |
| 73080 |
|
330 |
284 |
$6K |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
599 |
515 |
$5K |
| 73050 |
|
336 |
327 |
$5K |
| 97760 |
|
80 |
80 |
$4K |
| 99215 |
Prolong outpt/office vis |
44 |
44 |
$4K |
| 73140 |
|
165 |
145 |
$3K |
| 97022 |
|
249 |
89 |
$2K |
| Q4049 |
Finger splint, static |
1,415 |
1,152 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
24 |
$2K |
| 20670 |
|
17 |
17 |
$2K |
| 29065 |
|
34 |
28 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
109 |
106 |
$2K |
| 20551 |
|
51 |
50 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 20612 |
|
28 |
26 |
$893.94 |
| Q4014 |
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass |
76 |
60 |
$710.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
118 |
112 |
$702.81 |
| 20610 |
|
29 |
24 |
$482.50 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
71 |
53 |
$479.38 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$462.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
39 |
33 |
$457.88 |
| 73610 |
|
16 |
12 |
$374.88 |
| Q4006 |
Cast supplies, long arm cast, adult (11 years +), fiberglass |
14 |
12 |
$235.62 |
| 73562 |
|
16 |
16 |
$145.02 |
| Q4009 |
Cast supplies, short arm cast, adult (11 years +), plaster |
16 |
12 |
$101.44 |
| 99072 |
|
4,234 |
3,380 |
$97.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
13 |
13 |
$81.86 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
13 |
$72.64 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
12 |
$26.86 |
| 99070 |
|
160 |
133 |
$4.00 |
| 99024 |
|
6,054 |
4,645 |
$0.00 |
| 99406 |
|
84 |
68 |
$0.00 |
| A4590 |
Special casting material (e.g., fiberglass) |
172 |
140 |
$0.00 |
| A4570 |
Splint |
51 |
39 |
$0.00 |