| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,427 |
13,806 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,394 |
5,959 |
$263K |
| 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 |
263 |
192 |
$171K |
| 99442 |
|
5,371 |
4,523 |
$160K |
| 64635 |
|
578 |
443 |
$141K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,758 |
1,606 |
$125K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,163 |
2,974 |
$104K |
| 64493 |
|
980 |
841 |
$102K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,839 |
1,646 |
$86K |
| 64636 |
|
840 |
443 |
$76K |
| 80305 |
|
13,956 |
11,722 |
$71K |
| 62323 |
|
588 |
533 |
$69K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
765 |
94 |
$60K |
| 64494 |
|
1,453 |
839 |
$57K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
152 |
140 |
$21K |
| 77002 |
|
856 |
715 |
$21K |
| 20610 |
|
490 |
414 |
$18K |
| 99152 |
|
841 |
733 |
$14K |
| 64495 |
|
339 |
151 |
$12K |
| 20553 |
|
340 |
308 |
$11K |
| 96127 |
|
3,396 |
3,014 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,039 |
1,650 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
290 |
187 |
$3K |
| 62321 |
|
24 |
24 |
$2K |
| 95117 |
|
180 |
130 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,292 |
1,145 |
$1K |
| 99072 |
|
424 |
317 |
$1K |
| 99484 |
|
57 |
52 |
$1K |
| 62320 |
|
14 |
13 |
$939.31 |
| 99490 |
Ccm add 20min |
356 |
327 |
$836.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
53 |
$763.90 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,314 |
1,120 |
$234.35 |
| 99406 |
|
32 |
26 |
$190.56 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
48 |
35 |
$154.53 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
261 |
216 |
$65.27 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
30 |
16 |
$32.80 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
228 |
183 |
$0.81 |
| J3490 |
Unclassified drugs |
257 |
209 |
$0.13 |
| 888888 |
|
118 |
108 |
$0.00 |