| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,053 |
9,772 |
$281K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,855 |
2,639 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,139 |
4,671 |
$214K |
| 20610 |
|
4,638 |
3,506 |
$141K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
412 |
363 |
$108K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
268 |
253 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,331 |
1,223 |
$66K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
4,385 |
3,860 |
$41K |
| 73221 |
|
69 |
64 |
$19K |
| 73560 |
|
1,211 |
919 |
$14K |
| 62323 |
|
102 |
91 |
$14K |
| 72100 |
|
796 |
716 |
$13K |
| 64493 |
|
106 |
99 |
$13K |
| 64494 |
|
106 |
99 |
$7K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
383 |
347 |
$6K |
| 64495 |
|
98 |
93 |
$6K |
| 72040 |
|
257 |
221 |
$4K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
49 |
24 |
$4K |
| 72141 |
|
13 |
12 |
$4K |
| 73110 |
|
188 |
150 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
42 |
41 |
$2K |
| 73630 |
|
108 |
78 |
$1K |
| 73030 |
|
75 |
66 |
$1K |
| 73610 |
|
69 |
59 |
$911.49 |
| 72114 |
|
32 |
27 |
$722.89 |
| 99406 |
|
96 |
86 |
$578.22 |
| 73130 |
|
48 |
37 |
$572.48 |
| 73564 |
|
13 |
12 |
$287.64 |