| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,087 |
4,443 |
$470K |
| 72082 |
|
1,253 |
1,217 |
$240K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,251 |
1,527 |
$190K |
| 64642 |
|
267 |
238 |
$92K |
| 99215 |
Prolong outpt/office vis |
2,235 |
1,932 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,758 |
1,540 |
$63K |
| 77073 |
|
266 |
258 |
$51K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
571 |
412 |
$46K |
| J0475 |
Injection, baclofen, 10 mg |
25 |
25 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,178 |
1,051 |
$36K |
| 64640 |
|
66 |
36 |
$32K |
| 64643 |
|
210 |
188 |
$29K |
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
14 |
14 |
$29K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
46 |
37 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
156 |
$11K |
| 29450 |
|
19 |
13 |
$7K |
| 62369 |
|
25 |
25 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
99 |
$5K |
| 76770 |
|
19 |
14 |
$3K |
| 99201 |
|
43 |
41 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$2K |
| 97165 |
|
14 |
13 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
118 |
105 |
$782.30 |
| 95874 |
|
13 |
13 |
$776.00 |
| A4215 |
Needle, sterile, any size, each |
98 |
89 |
$375.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
61 |
54 |
$346.25 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
72 |
65 |
$344.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
47 |
40 |
$172.22 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$0.00 |
| 72170 |
|
13 |
12 |
$0.00 |