| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
1,281 |
1,199 |
$896K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,422 |
15,782 |
$619K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
5,018 |
4,934 |
$601K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,001 |
4,930 |
$199K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,685 |
1,833 |
$192K |
| 64635 |
|
1,524 |
1,298 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,260 |
2,250 |
$128K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
272 |
262 |
$124K |
| 64493 |
|
1,265 |
1,155 |
$113K |
| 64636 |
|
1,686 |
1,417 |
$108K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,482 |
1,768 |
$82K |
| 01992 |
|
1,386 |
1,203 |
$71K |
| 97116 |
|
4,320 |
1,385 |
$67K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,234 |
1,110 |
$60K |
| 64495 |
|
1,287 |
1,170 |
$59K |
| 64494 |
|
1,308 |
1,190 |
$59K |
| 62323 |
|
716 |
655 |
$46K |
| 97032 |
|
5,267 |
1,662 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
798 |
786 |
$42K |
| 64483 |
|
529 |
479 |
$41K |
| 20611 |
|
1,046 |
1,028 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
416 |
415 |
$37K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,865 |
2,460 |
$36K |
| 80171 |
|
3,511 |
3,443 |
$36K |
| 95886 |
|
343 |
330 |
$35K |
| 84311 |
|
3,546 |
3,493 |
$32K |
| 27096 |
|
423 |
389 |
$31K |
| 97162 |
|
656 |
655 |
$29K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
267 |
257 |
$23K |
| 62321 |
|
293 |
263 |
$19K |
| 64490 |
|
194 |
178 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
795 |
782 |
$17K |
| 95910 |
|
154 |
149 |
$16K |
| 82570 |
|
4,005 |
3,951 |
$15K |
| 01991 |
|
524 |
468 |
$15K |
| 64484 |
|
457 |
414 |
$14K |
| 64633 |
|
136 |
125 |
$14K |
| 64634 |
|
142 |
126 |
$11K |
| 83986 |
|
4,019 |
3,966 |
$11K |
| 64491 |
|
196 |
179 |
$9K |
| 64492 |
|
193 |
176 |
$9K |
| 97035 |
|
747 |
267 |
$5K |
| 81003 |
|
3,938 |
3,886 |
$5K |
| 95909 |
|
55 |
52 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
191 |
74 |
$3K |
| 97164 |
|
59 |
57 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
30 |
25 |
$1K |
| 20606 |
|
33 |
33 |
$1K |
| 20610 |
|
35 |
34 |
$1K |
| 95908 |
|
16 |
16 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
740 |
678 |
$878.50 |
| 98942 |
|
21 |
14 |
$628.11 |
| 20553 |
|
12 |
12 |
$251.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,252 |
1,226 |
$105.13 |
| 83992 |
|
14 |
14 |
$65.95 |
| 97014 |
|
20 |
16 |
$52.51 |
| 83789 |
|
3,497 |
3,429 |
$38.56 |
| 82542 |
|
3,497 |
3,429 |
$19.28 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
22 |
22 |
$0.00 |
| 77003 |
|
13 |
12 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
22 |
22 |
$0.00 |
| 99070 |
|
1,955 |
1,945 |
$0.00 |
| 80345 |
|
4,751 |
4,674 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
37 |
23 |
$0.00 |