| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,700 |
5,330 |
$302K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,124 |
1,112 |
$95K |
| 95886 |
|
1,148 |
1,039 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
672 |
449 |
$26K |
| 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 |
19 |
19 |
$14K |
| 80305 |
|
1,372 |
1,338 |
$10K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,583 |
1,458 |
$7K |
| 20610 |
|
264 |
244 |
$7K |
| 98928 |
|
172 |
103 |
$6K |
| 20552 |
|
227 |
207 |
$4K |
| 64405 |
|
57 |
56 |
$3K |
| 98926 |
|
117 |
96 |
$3K |
| 95909 |
|
25 |
24 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,669 |
1,529 |
$1K |
| 95911 |
|
13 |
13 |
$1K |
| 20553 |
|
60 |
54 |
$1K |