| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,898 |
9,114 |
$805K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,660 |
3,317 |
$438K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,216 |
5,471 |
$322K |
| 99215 |
Prolong outpt/office vis |
1,653 |
1,437 |
$157K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,141 |
1,985 |
$144K |
| 20610 |
|
3,681 |
2,170 |
$127K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,667 |
1,116 |
$107K |
| 95886 |
|
1,092 |
669 |
$74K |
| 64483 |
|
339 |
250 |
$59K |
| 99205 |
Prolong outpt/office vis |
328 |
300 |
$47K |
| 99233 |
Prolong inpt eval add15 m |
647 |
551 |
$41K |
| 73610 |
|
1,524 |
1,286 |
$38K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,045 |
623 |
$37K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
206 |
191 |
$36K |
| 73562 |
|
1,274 |
1,065 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,140 |
974 |
$31K |
| 72110 |
|
979 |
893 |
$31K |
| 73630 |
|
1,241 |
952 |
$28K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
150 |
131 |
$26K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
218 |
90 |
$26K |
| 73110 |
|
807 |
570 |
$20K |
| 97165 |
|
283 |
245 |
$16K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
102 |
96 |
$14K |
| 72050 |
|
462 |
399 |
$14K |
| 73030 |
|
660 |
525 |
$13K |
| 76000 |
|
1,345 |
943 |
$11K |
| 73130 |
|
406 |
309 |
$9K |
| 73502 |
|
315 |
270 |
$9K |
| 62323 |
|
72 |
56 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,950 |
3,070 |
$6K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
121 |
84 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
139 |
105 |
$4K |
| 73564 |
|
141 |
102 |
$4K |
| 97022 |
|
533 |
202 |
$4K |
| 20550 |
|
49 |
39 |
$2K |
| 95910 |
|
13 |
12 |
$2K |
| 62321 |
|
15 |
14 |
$2K |
| 72141 |
|
17 |
13 |
$2K |
| 64484 |
|
17 |
15 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
38 |
12 |
$1K |
| 73590 |
|
49 |
40 |
$1K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
17 |
12 |
$930.70 |
| 73565 |
|
48 |
40 |
$870.93 |
| 73560 |
|
62 |
39 |
$741.94 |
| 73552 |
|
25 |
25 |
$463.23 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
956 |
845 |
$165.13 |
| 99072 |
|
109 |
101 |
$0.00 |
| 99024 |
|
80 |
68 |
$0.00 |