| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36465 |
|
9,209 |
5,009 |
$14.89M |
| 36475 |
|
4,030 |
2,844 |
$7.61M |
| 93970 |
|
16,264 |
16,061 |
$3.11M |
| Q4133 |
Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) |
503 |
249 |
$1.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,874 |
11,574 |
$758K |
| 93971 |
|
5,388 |
4,619 |
$564K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,709 |
3,694 |
$494K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,294 |
9,996 |
$449K |
| A6549 |
Gradient compression garment, not otherwise specified, for daytime use, each |
4,131 |
3,184 |
$200K |
| 20611 |
|
2,956 |
1,751 |
$158K |
| 36482 |
|
36 |
28 |
$115K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,496 |
6,145 |
$112K |
| 93922 |
|
1,438 |
1,437 |
$101K |
| 37765 |
|
606 |
506 |
$93K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
105 |
105 |
$77K |
| 36473 |
|
46 |
35 |
$64K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
187 |
107 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,142 |
1,092 |
$57K |
| 36471 |
|
398 |
379 |
$46K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,708 |
1,699 |
$46K |
| 93925 |
|
326 |
326 |
$45K |
| 15271 |
|
461 |
244 |
$39K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,086 |
2,047 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
477 |
476 |
$27K |
| 20606 |
|
738 |
561 |
$25K |
| 76942 |
|
315 |
304 |
$21K |
| 99243 |
|
199 |
195 |
$20K |
| 93000 |
|
660 |
633 |
$15K |
| 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 |
137 |
77 |
$13K |
| 29581 |
|
132 |
87 |
$9K |
| 81025 |
|
3,228 |
2,182 |
$9K |
| 93923 |
|
43 |
43 |
$5K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
24 |
15 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
286 |
281 |
$1K |