| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,534 |
1,297 |
$375K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,344 |
6,774 |
$250K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
936 |
792 |
$208K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,138 |
2,711 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,092 |
1,759 |
$155K |
| 20610 |
|
4,838 |
2,582 |
$124K |
| 72141 |
|
361 |
291 |
$75K |
| 99215 |
Prolong outpt/office vis |
750 |
641 |
$45K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
262 |
180 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
973 |
831 |
$41K |
| 73221 |
|
189 |
162 |
$41K |
| 73560 |
|
1,766 |
1,213 |
$23K |
| 72100 |
|
991 |
841 |
$18K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
345 |
201 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
902 |
741 |
$10K |
| 73030 |
|
508 |
409 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,074 |
1,707 |
$6K |
| 73110 |
|
297 |
226 |
$5K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
35 |
13 |
$4K |
| 73610 |
|
165 |
130 |
$3K |
| 73100 |
|
171 |
128 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
117 |
52 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,570 |
1,278 |
$2K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
17 |
14 |
$1K |
| 72040 |
|
97 |
78 |
$1K |
| 73630 |
|
73 |
53 |
$1K |
| 73620 |
|
58 |
39 |
$652.06 |
| 73600 |
|
42 |
28 |
$533.21 |
| 73130 |
|
28 |
24 |
$483.33 |
| 73502 |
|
14 |
12 |
$265.58 |
| 20605 |
|
15 |
12 |
$238.03 |
| 73120 |
|
14 |
13 |
$199.52 |
| 73140 |
|
13 |
12 |
$186.61 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
23 |
20 |
$148.92 |
| 99024 |
|
2,470 |
1,842 |
$0.00 |