| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3490 |
Unclassified drugs |
4,730 |
1,819 |
$1.65M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23,469 |
22,147 |
$644K |
| 77073 |
|
5,564 |
5,349 |
$355K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
7,693 |
2,012 |
$221K |
| 72082 |
|
3,726 |
3,586 |
$178K |
| 72081 |
|
3,166 |
2,992 |
$171K |
| 73620 |
|
5,233 |
4,026 |
$161K |
| 72170 |
|
2,861 |
2,712 |
$134K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,752 |
1,755 |
$115K |
| 73600 |
|
3,146 |
2,286 |
$97K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,117 |
944 |
$88K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,406 |
3,334 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,372 |
2,165 |
$71K |
| 97116 |
|
3,442 |
1,375 |
$65K |
| 99201 |
|
1,776 |
1,701 |
$42K |
| 97161 |
|
1,803 |
1,682 |
$29K |
| 73560 |
|
1,257 |
954 |
$28K |
| 73100 |
|
242 |
199 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
910 |
884 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
738 |
703 |
$18K |
| 81003 |
|
112 |
104 |
$11K |
| 76000 |
|
335 |
316 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
92 |
89 |
$10K |
| 73630 |
|
211 |
173 |
$9K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
293 |
111 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
297 |
291 |
$6K |
| 73590 |
|
80 |
67 |
$5K |
| 72020 |
|
25 |
25 |
$4K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
142 |
141 |
$4K |
| 96001 |
|
290 |
283 |
$4K |
| 81025 |
|
15 |
14 |
$3K |
| 73090 |
|
33 |
27 |
$2K |
| 97760 |
|
25 |
24 |
$2K |
| 73120 |
|
26 |
26 |
$2K |
| 73070 |
|
17 |
13 |
$2K |
| 29405 |
|
33 |
26 |
$2K |
| 97535 |
Self-care/home management training, each 15 minutes |
27 |
13 |
$1K |
| 97165 |
|
111 |
105 |
$891.13 |
| 97162 |
|
25 |
24 |
$710.76 |
| 73610 |
|
12 |
12 |
$589.95 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$464.50 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,827 |
1,704 |
$210.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,252 |
972 |
$125.34 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,607 |
1,410 |
$110.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
956 |
902 |
$70.48 |
| J2704 |
Injection, propofol, 10 mg |
1,581 |
1,453 |
$61.08 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
337 |
303 |
$58.69 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
222 |
208 |
$2.24 |
| 96002 |
|
13 |
13 |
$0.00 |