| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,786 |
9,873 |
$757K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,139 |
9,181 |
$541K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,392 |
5,995 |
$525K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,545 |
3,376 |
$419K |
| 95886 |
|
1,253 |
1,192 |
$142K |
| 73110 |
|
2,691 |
2,104 |
$66K |
| 99215 |
Prolong outpt/office vis |
863 |
761 |
$60K |
| 20610 |
|
1,166 |
1,021 |
$44K |
| 73610 |
|
1,055 |
912 |
$25K |
| 73630 |
|
891 |
716 |
$18K |
| 73130 |
|
736 |
565 |
$16K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
96 |
93 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
140 |
103 |
$11K |
| 29848 |
|
30 |
26 |
$11K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
50 |
49 |
$11K |
| 95911 |
|
50 |
50 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,583 |
1,450 |
$9K |
| 73564 |
|
296 |
235 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
167 |
60 |
$5K |
| 73080 |
|
96 |
80 |
$3K |
| 73030 |
|
136 |
112 |
$3K |
| 11721 |
|
318 |
244 |
$2K |
| 73562 |
|
94 |
77 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
117 |
40 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
57 |
$2K |
| 80305 |
|
533 |
466 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
43 |
32 |
$2K |
| 73140 |
|
53 |
45 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
20 |
13 |
$1K |
| 20550 |
|
42 |
31 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
12 |
$1K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
16 |
16 |
$1K |
| 73590 |
|
30 |
24 |
$793.28 |
| 73502 |
|
31 |
26 |
$663.37 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
82 |
75 |
$560.75 |
| 96138 |
|
14 |
14 |
$471.55 |
| 99443 |
|
29 |
27 |
$463.10 |
| 73620 |
|
27 |
21 |
$409.29 |
| 99442 |
|
16 |
12 |
$222.84 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
53 |
39 |
$103.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$5.27 |
| 3008F |
|
3,335 |
2,962 |
$0.00 |
| 3074F |
|
221 |
193 |
$0.00 |
| 99024 |
|
259 |
218 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 1125F |
|
200 |
178 |
$0.00 |
| 4010F |
|
117 |
105 |
$0.00 |
| 1159F |
|
2,932 |
2,576 |
$0.00 |
| 3078F |
|
159 |
140 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |