| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,762 |
7,290 |
$844K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,205 |
4,196 |
$590K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,608 |
1,844 |
$213K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,070 |
1,923 |
$157K |
| 20610 |
|
2,125 |
1,596 |
$122K |
| 99205 |
Prolong outpt/office vis |
496 |
496 |
$93K |
| 73564 |
|
1,293 |
868 |
$28K |
| 20550 |
|
509 |
411 |
$25K |
| 73110 |
|
893 |
725 |
$20K |
| 99215 |
Prolong outpt/office vis |
102 |
98 |
$12K |
| 73610 |
|
492 |
437 |
$9K |
| 97165 |
|
165 |
162 |
$8K |
| 73030 |
|
387 |
342 |
$7K |
| 73130 |
|
341 |
268 |
$6K |
| 73140 |
|
431 |
380 |
$6K |
| 73630 |
|
276 |
234 |
$5K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
695 |
682 |
$4K |
| 97760 |
|
65 |
61 |
$3K |
| 29125 |
|
100 |
96 |
$2K |
| 97035 |
|
75 |
42 |
$2K |
| 73562 |
|
122 |
121 |
$2K |
| 73020 |
|
98 |
86 |
$1K |
| 29075 |
|
16 |
15 |
$1K |
| 73080 |
|
57 |
40 |
$870.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,076 |
787 |
$719.61 |
| 73502 |
|
15 |
13 |
$511.90 |
| 15853 |
|
29 |
29 |
$312.27 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
16 |
15 |
$237.40 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
143 |
141 |
$39.16 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
180 |
180 |
$0.00 |
| 99024 |
|
606 |
427 |
$0.00 |
| L3933 |
Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment |
44 |
41 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
87 |
87 |
$0.00 |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$0.00 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
13 |
12 |
$0.00 |