| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,165 |
14,510 |
$645K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,370 |
10,309 |
$601K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,804 |
5,761 |
$515K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,689 |
6,473 |
$399K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,642 |
1,356 |
$110K |
| 20610 |
|
4,680 |
4,421 |
$83K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,512 |
1,376 |
$80K |
| 73630 |
|
4,374 |
3,667 |
$78K |
| 73610 |
|
3,954 |
3,543 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,979 |
2,812 |
$73K |
| 73562 |
|
4,267 |
3,455 |
$66K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
6,195 |
1,565 |
$66K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,841 |
1,041 |
$66K |
| 73130 |
|
3,050 |
2,570 |
$62K |
| 25600 |
|
250 |
249 |
$54K |
| 73100 |
|
2,209 |
1,940 |
$41K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
917 |
913 |
$37K |
| 73564 |
|
1,897 |
1,428 |
$36K |
| 72170 |
|
2,382 |
2,354 |
$35K |
| 73030 |
|
2,415 |
2,108 |
$35K |
| 73110 |
|
1,398 |
1,240 |
$32K |
| 73590 |
|
1,883 |
1,636 |
$30K |
| 73560 |
|
1,833 |
1,561 |
$29K |
| 72082 |
|
615 |
613 |
$25K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,643 |
4,561 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
341 |
334 |
$23K |
| 73070 |
|
1,379 |
1,231 |
$22K |
| 62323 |
|
150 |
148 |
$20K |
| 73090 |
|
1,049 |
869 |
$18K |
| 73600 |
|
1,032 |
868 |
$17K |
| 72100 |
|
838 |
825 |
$17K |
| 73080 |
|
704 |
619 |
$14K |
| 72110 |
|
485 |
484 |
$13K |
| 20550 |
|
396 |
380 |
$10K |
| 97161 |
|
235 |
234 |
$9K |
| 73502 |
|
480 |
457 |
$9K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
711 |
704 |
$8K |
| 97535 |
Self-care/home management training, each 15 minutes |
552 |
471 |
$8K |
| 27130 |
|
20 |
14 |
$6K |
| 20611 |
|
266 |
253 |
$6K |
| 20680 |
|
24 |
24 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
62 |
60 |
$5K |
| 73501 |
|
364 |
360 |
$5K |
| 72040 |
|
217 |
216 |
$4K |
| 72081 |
|
108 |
107 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
57 |
57 |
$2K |
| 20605 |
|
95 |
93 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 77077 |
|
58 |
58 |
$1K |
| 97750 |
|
131 |
131 |
$1K |
| 72050 |
|
42 |
42 |
$1K |
| 73140 |
|
43 |
39 |
$1K |
| 73552 |
|
54 |
51 |
$966.22 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
88 |
87 |
$949.65 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
65 |
62 |
$886.31 |
| 73000 |
|
28 |
26 |
$542.72 |
| 73120 |
|
42 |
37 |
$514.54 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
13 |
12 |
$274.37 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
63 |
61 |
$274.36 |
| 73620 |
|
14 |
12 |
$255.85 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
31 |
29 |
$219.93 |
| 99051 |
|
16 |
16 |
$30.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
787 |
197 |
$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 |
28 |
28 |
$0.00 |
| 1036F |
|
54 |
54 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
14 |
14 |
$0.00 |
| 99024 |
|
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
54 |
54 |
$0.00 |