| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
2,670 |
1,752 |
$641K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,332 |
3,968 |
$108K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
167 |
142 |
$99K |
| 62323 |
|
649 |
378 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,785 |
1,411 |
$54K |
| 64493 |
|
1,371 |
754 |
$42K |
| 99205 |
Prolong outpt/office vis |
537 |
463 |
$32K |
| 20552 |
|
873 |
757 |
$21K |
| 64495 |
|
1,367 |
753 |
$16K |
| 64494 |
|
1,370 |
754 |
$15K |
| 62321 |
|
108 |
64 |
$13K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
60 |
53 |
$8K |
| 96103 |
|
262 |
226 |
$3K |
| 72100 |
|
456 |
390 |
$2K |
| 20610 |
|
30 |
25 |
$1K |
| 72040 |
|
190 |
151 |
$816.65 |
| 77003 |
|
818 |
481 |
$449.65 |
| 96146 |
|
302 |
259 |
$194.59 |
| 73560 |
|
20 |
14 |
$50.92 |