| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,505 |
12,395 |
$746K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,450 |
5,194 |
$247K |
| 64635 |
|
721 |
703 |
$123K |
| 64493 |
|
1,445 |
1,352 |
$104K |
| 62323 |
|
855 |
843 |
$91K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
865 |
860 |
$76K |
| 64636 |
|
722 |
703 |
$69K |
| 77002 |
|
3,641 |
2,439 |
$52K |
| 64494 |
|
1,445 |
1,352 |
$52K |
| 20610 |
|
3,362 |
2,204 |
$44K |
| 80305 |
|
7,864 |
6,690 |
$40K |
| 64483 |
|
255 |
245 |
$24K |
| 64490 |
|
256 |
251 |
$23K |
| 64495 |
|
558 |
502 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
375 |
369 |
$21K |
| 76942 |
|
1,076 |
1,013 |
$18K |
| 20553 |
|
592 |
581 |
$17K |
| 62321 |
|
153 |
150 |
$17K |
| 64491 |
|
256 |
251 |
$11K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
546 |
522 |
$8K |
| 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 |
43 |
43 |
$7K |
| 64484 |
|
177 |
169 |
$7K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
265 |
125 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,108 |
956 |
$4K |
| J7332 |
Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg |
39 |
25 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,245 |
3,789 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
411 |
396 |
$3K |
| 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) |
1,020 |
977 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
352 |
342 |
$2K |
| 64492 |
|
25 |
24 |
$2K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
5,044 |
3,613 |
$866.33 |
| 20611 |
|
14 |
12 |
$701.16 |
| 20552 |
|
31 |
28 |
$608.05 |
| 99443 |
|
31 |
29 |
$522.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
346 |
332 |
$499.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
598 |
570 |
$109.95 |