| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
39,803 |
31,408 |
$1.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,090 |
28,201 |
$853K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,354 |
18,474 |
$778K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
711 |
595 |
$382K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,566 |
3,862 |
$318K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
9,767 |
2,396 |
$253K |
| 72110 |
|
8,670 |
7,630 |
$203K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
9,270 |
2,249 |
$180K |
| 62323 |
|
1,416 |
1,317 |
$174K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,039 |
2,898 |
$165K |
| 20611 |
|
2,986 |
2,534 |
$129K |
| 95913 |
|
933 |
730 |
$125K |
| 95886 |
|
2,842 |
1,110 |
$112K |
| 72170 |
|
7,556 |
6,632 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,818 |
4,069 |
$79K |
| 72040 |
|
4,129 |
3,427 |
$64K |
| 72052 |
|
2,090 |
1,939 |
$60K |
| 95912 |
|
470 |
380 |
$55K |
| 73030 |
|
4,110 |
3,402 |
$54K |
| 99205 |
Prolong outpt/office vis |
452 |
384 |
$38K |
| 97162 |
|
889 |
810 |
$36K |
| 73564 |
|
1,772 |
1,436 |
$27K |
| 99215 |
Prolong outpt/office vis |
631 |
433 |
$24K |
| 73565 |
|
1,350 |
1,282 |
$20K |
| 72114 |
|
655 |
525 |
$15K |
| 73562 |
|
1,578 |
1,363 |
$15K |
| 73502 |
|
524 |
491 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
252 |
247 |
$10K |
| 72072 |
|
399 |
345 |
$8K |
| 76881 |
|
156 |
114 |
$5K |
| 73630 |
|
309 |
278 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
310 |
151 |
$3K |
| 73130 |
|
161 |
143 |
$3K |
| 73610 |
|
139 |
129 |
$2K |
| 95911 |
|
17 |
12 |
$2K |
| 80305 |
|
160 |
152 |
$1K |
| 20606 |
|
30 |
25 |
$1K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
126 |
107 |
$966.26 |
| 99201 |
|
41 |
41 |
$933.96 |
| 99443 |
|
39 |
33 |
$748.53 |
| 72100 |
|
31 |
30 |
$563.27 |
| 99442 |
|
28 |
27 |
$479.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
143 |
$396.82 |
| 72050 |
|
16 |
14 |
$347.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$284.79 |
| 99441 |
|
38 |
34 |
$263.38 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
3,402 |
2,731 |
$245.21 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
44 |
40 |
$26.86 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
104 |
95 |
$22.22 |
| 99406 |
|
76 |
50 |
$12.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
110 |
103 |
$9.39 |
| 77003 |
|
20 |
15 |
$0.00 |