| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,457 |
6,147 |
$193K |
| 27096 |
|
2,155 |
1,285 |
$174K |
| 64483 |
|
1,001 |
938 |
$126K |
| 64484 |
|
813 |
777 |
$95K |
| 95911 |
|
902 |
896 |
$49K |
| 77002 |
|
943 |
794 |
$39K |
| 20610 |
|
1,219 |
958 |
$34K |
| 95886 |
|
1,790 |
892 |
$30K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,330 |
4,013 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
430 |
429 |
$18K |
| 64445 |
|
90 |
87 |
$8K |
| 76942 |
|
913 |
895 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
260 |
112 |
$7K |
| 64479 |
|
53 |
50 |
$4K |
| 20553 |
|
405 |
404 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
108 |
$2K |
| 64450 |
|
31 |
25 |
$1K |
| 64480 |
|
39 |
38 |
$1K |
| 97014 |
|
109 |
49 |
$890.95 |
| 64418 |
|
13 |
12 |
$883.22 |
| 97035 |
|
104 |
50 |
$809.17 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$604.87 |
| 99443 |
|
37 |
37 |
$590.29 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
24 |
16 |
$489.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
23 |
$164.36 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
655 |
626 |
$162.25 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
47 |
46 |
$0.00 |