| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
9,350 |
2,399 |
$534K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,808 |
6,288 |
$135K |
| 99421 |
|
4,696 |
1,283 |
$82K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
2,359 |
739 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,266 |
1,160 |
$19K |
| 80050 |
General health panel |
448 |
392 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,432 |
1,286 |
$10K |
| 27370 |
|
2,009 |
610 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,451 |
1,285 |
$9K |
| 77002 |
|
1,174 |
752 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,627 |
1,131 |
$6K |
| 80061 |
Lipid panel |
1,550 |
1,496 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,670 |
1,602 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
469 |
441 |
$4K |
| 99000 |
|
1,074 |
988 |
$3K |
| 82044 |
|
1,933 |
1,853 |
$3K |
| 80053 |
Comprehensive metabolic panel |
2,140 |
2,054 |
$3K |
| 97162 |
|
168 |
167 |
$3K |
| 82570 |
|
1,888 |
1,807 |
$3K |
| 20610 |
|
1,333 |
837 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,143 |
2,034 |
$3K |
| 27369 |
|
1,009 |
330 |
$3K |
| 84439 |
|
1,189 |
1,143 |
$2K |
| 81001 |
|
2,648 |
2,449 |
$2K |
| 84481 |
|
998 |
962 |
$2K |
| 73580 |
|
3,032 |
946 |
$2K |
| 93000 |
|
394 |
384 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
118 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,461 |
1,409 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
228 |
224 |
$1K |
| 90674 |
|
295 |
287 |
$934.67 |
| 99457 |
|
1,078 |
1,052 |
$868.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
537 |
216 |
$795.01 |
| 95923 |
|
27 |
27 |
$748.08 |
| 97032 |
|
2,275 |
673 |
$646.13 |
| 73560 |
|
309 |
194 |
$586.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
71 |
$561.06 |
| 99441 |
|
41 |
36 |
$474.43 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
637 |
207 |
$457.94 |
| 90756 |
|
26 |
25 |
$446.82 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
1,234 |
448 |
$356.07 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
552 |
428 |
$255.38 |
| 90688 |
|
34 |
33 |
$190.56 |
| 99458 |
|
163 |
135 |
$156.45 |
| 99454 |
|
406 |
394 |
$139.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
544 |
470 |
$93.80 |
| 72082 |
|
16 |
16 |
$60.52 |
| 95921 |
|
27 |
27 |
$59.94 |
| 99453 |
|
15 |
13 |
$36.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,113 |
917 |
$31.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$28.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,845 |
3,295 |
$16.00 |
| 84550 |
|
41 |
41 |
$7.36 |
| 85651 |
|
63 |
63 |
$6.90 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,324 |
1,092 |
$0.36 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
618 |
486 |
$0.14 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
295 |
294 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
241 |
240 |
$0.00 |
| 1170F |
|
321 |
318 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
257 |
254 |
$0.00 |
| 1126F |
|
220 |
216 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
48 |
44 |
$0.00 |
| 97016 |
|
45 |
15 |
$0.00 |
| 1125F |
|
17 |
16 |
$0.00 |
| 1090F |
|
308 |
306 |
$0.00 |
| J7320 |
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
983 |
366 |
$0.00 |
| 3725F |
|
306 |
304 |
$0.00 |
| 1160F |
|
40 |
37 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
132 |
131 |
$0.00 |
| 3288F |
|
297 |
295 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
133 |
132 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
308 |
306 |
$0.00 |
| 77080 |
|
29 |
28 |
$0.00 |
| 82274 |
|
12 |
12 |
$0.00 |
| 1159F |
|
40 |
37 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |
| 96102 |
|
38 |
36 |
$0.00 |
| 3078F |
|
22 |
21 |
$0.00 |
| Q9960 |
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml |
47 |
30 |
$0.00 |