| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,447 |
20,595 |
$1.52M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,732 |
11,665 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,640 |
1,592 |
$167K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
789 |
789 |
$120K |
| 99223 |
Prolong inpt eval add15 m |
358 |
346 |
$46K |
| 99222 |
Initial hospital care, per day, moderate complexity |
503 |
497 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
518 |
503 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
347 |
185 |
$18K |
| 99254 |
|
43 |
41 |
$6K |
| 20611 |
|
57 |
50 |
$5K |
| 25600 |
|
14 |
12 |
$5K |
| 99221 |
|
61 |
60 |
$5K |
| 73110 |
|
84 |
77 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
355 |
341 |
$3K |
| 72100 |
|
78 |
78 |
$2K |
| 73620 |
|
80 |
64 |
$1K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
14 |
14 |
$1K |
| 73600 |
|
44 |
37 |
$1K |
| 29125 |
|
25 |
25 |
$826.69 |
| 73130 |
|
14 |
13 |
$606.80 |
| Q9960 |
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml |
129 |
129 |
$461.89 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
13 |
$76.73 |
| 3008F |
|
4,653 |
4,421 |
$30.52 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
65 |
65 |
$11.30 |
| A4930 |
Gloves, sterile, per pair |
76 |
76 |
$11.10 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
53 |
53 |
$7.80 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
45 |
44 |
$0.07 |
| 1159F |
|
4,960 |
4,681 |
$0.00 |
| 3078F |
|
1,030 |
967 |
$0.00 |
| 1160F |
|
1,998 |
1,892 |
$0.00 |
| 3288F |
|
1,209 |
1,135 |
$0.00 |
| 1033F |
|
223 |
218 |
$0.00 |
| 3062F |
|
59 |
52 |
$0.00 |
| 3077F |
|
26 |
25 |
$0.00 |
| 1000F |
|
2,464 |
2,332 |
$0.00 |
| 3044F |
|
1,781 |
1,678 |
$0.00 |
| 99024 |
|
1,487 |
1,303 |
$0.00 |
| 1036F |
|
1,214 |
1,150 |
$0.00 |
| 3074F |
|
1,221 |
1,163 |
$0.00 |
| 1125F |
|
340 |
325 |
$0.00 |
| 1170F |
|
1,289 |
1,211 |
$0.00 |
| 3079F |
|
82 |
80 |
$0.00 |
| 1126F |
|
77 |
75 |
$0.00 |
| 3061F |
|
30 |
29 |
$0.00 |
| 4000F |
|
29 |
29 |
$0.00 |