| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,080 |
3,898 |
$444K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,357 |
5,077 |
$395K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,057 |
2,948 |
$337K |
| 20611 |
|
1,919 |
1,360 |
$163K |
| 99458 |
|
1,114 |
1,036 |
$109K |
| 99243 |
|
552 |
550 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
344 |
328 |
$55K |
| 99457 |
|
1,188 |
1,109 |
$52K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
129 |
65 |
$43K |
| 73562 |
|
1,079 |
885 |
$41K |
| 99454 |
|
583 |
558 |
$35K |
| 73564 |
|
608 |
491 |
$27K |
| 73030 |
|
766 |
681 |
$24K |
| 98977 |
|
277 |
273 |
$18K |
| J3303 |
Injection, triamcinolone hexacetonide, per 5 mg |
1,012 |
797 |
$18K |
| 73502 |
|
381 |
365 |
$17K |
| 72100 |
|
453 |
437 |
$17K |
| 72040 |
|
417 |
396 |
$16K |
| 73610 |
|
379 |
317 |
$13K |
| 73130 |
|
342 |
268 |
$12K |
| 73110 |
|
215 |
181 |
$8K |
| 76942 |
|
43 |
40 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99453 |
|
78 |
78 |
$2K |
| 77089 |
|
65 |
61 |
$2K |
| 73565 |
|
47 |
47 |
$2K |
| 77085 |
|
59 |
55 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
259 |
240 |
$978.78 |
| 72110 |
|
13 |
13 |
$697.57 |
| 99406 |
|
68 |
65 |
$653.27 |
| 98975 |
|
27 |
27 |
$633.04 |
| 73080 |
|
15 |
14 |
$561.49 |
| 73630 |
|
16 |
15 |
$560.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$369.62 |
| 99024 |
|
1,063 |
939 |
$29.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
388 |
318 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
242 |
225 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
176 |
161 |
$0.00 |