| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,791 |
48,275 |
$1.05M |
| 64635 |
|
2,012 |
1,297 |
$281K |
| 27096 |
|
1,699 |
1,434 |
$239K |
| 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 |
489 |
387 |
$228K |
| 64636 |
|
3,534 |
1,292 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,425 |
5,772 |
$171K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,111 |
915 |
$38K |
| 64493 |
|
599 |
406 |
$36K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
7,762 |
5,696 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
542 |
456 |
$26K |
| 20611 |
|
411 |
285 |
$15K |
| 64494 |
|
577 |
392 |
$14K |
| 64495 |
|
444 |
306 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
325 |
251 |
$5K |
| 64633 |
|
16 |
12 |
$3K |
| 64634 |
|
31 |
12 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
182 |
151 |
$1K |
| 99490 |
Ccm add 20min |
186 |
184 |
$482.39 |
| 77002 |
|
40 |
38 |
$449.45 |
| 20553 |
|
19 |
14 |
$417.29 |
| 99406 |
|
86 |
57 |
$357.15 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
18 |
16 |
$318.24 |
| 81025 |
|
106 |
100 |
$289.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
198 |
166 |
$207.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
58 |
48 |
$17.51 |
| 20550 |
|
13 |
13 |
$2.84 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
24 |
23 |
$0.00 |