| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,591 |
17,836 |
$761K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,542 |
21,149 |
$696K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,050 |
5,421 |
$423K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,746 |
5,110 |
$252K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
587 |
514 |
$113K |
| 20610 |
|
2,877 |
2,023 |
$58K |
| 73610 |
|
2,667 |
2,231 |
$37K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,744 |
549 |
$35K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,940 |
2,407 |
$33K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
109 |
105 |
$18K |
| 73562 |
|
1,441 |
1,206 |
$17K |
| 73221 |
|
87 |
78 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
716 |
547 |
$8K |
| 73110 |
|
513 |
402 |
$8K |
| 73130 |
|
590 |
442 |
$7K |
| 72100 |
|
635 |
503 |
$7K |
| 73620 |
|
533 |
435 |
$6K |
| 73630 |
|
388 |
314 |
$5K |
| 95886 |
|
102 |
77 |
$4K |
| 99215 |
Prolong outpt/office vis |
63 |
56 |
$4K |
| 64483 |
|
44 |
37 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
283 |
222 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
14 |
14 |
$870.61 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
101 |
87 |
$580.46 |
| 73564 |
|
34 |
25 |
$433.28 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
100 |
91 |
$291.68 |
| 73030 |
|
32 |
25 |
$216.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
157 |
131 |
$206.82 |
| 72040 |
|
15 |
12 |
$174.99 |
| 73560 |
|
20 |
12 |
$77.07 |
| A4565 |
Slings |
14 |
13 |
$60.86 |
| 99024 |
|
3,211 |
2,545 |
$31.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
71 |
64 |
$30.58 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |