| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,513 |
20,526 |
$1.82M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
690 |
347 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,816 |
8,997 |
$1.04M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,658 |
3,238 |
$460K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,826 |
3,442 |
$407K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,609 |
2,271 |
$106K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,743 |
894 |
$89K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,289 |
1,146 |
$88K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
273 |
251 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
500 |
459 |
$84K |
| 95886 |
|
797 |
721 |
$79K |
| 73630 |
|
1,430 |
1,108 |
$43K |
| 20610 |
|
750 |
572 |
$35K |
| 64483 |
|
107 |
93 |
$23K |
| 73610 |
|
704 |
580 |
$23K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
578 |
231 |
$20K |
| 95909 |
|
126 |
120 |
$19K |
| 20611 |
|
225 |
184 |
$14K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
137 |
113 |
$11K |
| 73564 |
|
246 |
175 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,682 |
1,205 |
$9K |
| 73110 |
|
236 |
197 |
$9K |
| 72100 |
|
238 |
206 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
199 |
104 |
$7K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
100 |
94 |
$7K |
| 99215 |
Prolong outpt/office vis |
45 |
44 |
$6K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
104 |
99 |
$5K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
26 |
24 |
$5K |
| 99243 |
|
26 |
26 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
16 |
16 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
77 |
38 |
$3K |
| 72110 |
|
68 |
64 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
36 |
$2K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
17 |
13 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
365 |
258 |
$2K |
| 73140 |
|
47 |
38 |
$2K |
| A4637 |
Replacement, tip, cane, crutch, walker, each. |
692 |
323 |
$1K |
| 73030 |
|
44 |
38 |
$1K |
| 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) |
622 |
579 |
$1K |
| 73502 |
|
31 |
28 |
$816.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
89 |
$777.28 |
| L3260 |
Surgical boot/shoe, each |
41 |
37 |
$749.79 |
| 73562 |
|
16 |
13 |
$447.84 |
| 72040 |
|
16 |
16 |
$412.11 |
| 36415 |
Collection of venous blood by venipuncture |
1,022 |
693 |
$177.60 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
29 |
15 |
$119.98 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
39 |
12 |
$41.36 |
| 80053 |
Comprehensive metabolic panel |
43 |
39 |
$7.56 |
| 86140 |
|
43 |
39 |
$0.00 |
| 85651 |
|
43 |
39 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
27 |
$0.00 |