| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,826 |
21,012 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,297 |
7,132 |
$259K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,940 |
1,849 |
$144K |
| 99484 |
|
6,312 |
6,129 |
$133K |
| 64483 |
|
622 |
600 |
$105K |
| 64493 |
|
327 |
285 |
$47K |
| 20553 |
|
1,063 |
972 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
677 |
611 |
$35K |
| 99152 |
|
1,329 |
1,102 |
$28K |
| 62323 |
|
263 |
187 |
$24K |
| 64494 |
|
327 |
281 |
$22K |
| 20611 |
|
184 |
167 |
$14K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
850 |
779 |
$3K |
| 62321 |
|
18 |
12 |
$1K |
| 64495 |
|
36 |
24 |
$991.35 |
| 99442 |
|
31 |
25 |
$874.23 |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
129 |
126 |
$794.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
63 |
$710.43 |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$700.84 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
634 |
611 |
$623.85 |
| 62368 |
|
27 |
12 |
$561.93 |
| 64484 |
|
13 |
13 |
$531.25 |
| 96127 |
|
148 |
126 |
$345.27 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
594 |
471 |
$191.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,018 |
1,801 |
$173.76 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
993 |
848 |
$98.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
143 |
133 |
$55.30 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
14 |
$17.72 |