| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,245 |
29,499 |
$4.69M |
| 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 |
970 |
969 |
$853K |
| 99215 |
Prolong outpt/office vis |
3,317 |
2,604 |
$553K |
| 20553 |
|
7,848 |
5,359 |
$374K |
| 76942 |
|
9,217 |
6,067 |
$201K |
| 76882 |
|
9,296 |
6,116 |
$182K |
| 99205 |
Prolong outpt/office vis |
776 |
775 |
$164K |
| 90837 |
Psychotherapy, 53 minutes with patient |
567 |
199 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
544 |
544 |
$45K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
5,034 |
3,519 |
$33K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
44 |
44 |
$33K |
| 64483 |
|
499 |
303 |
$33K |
| 20610 |
|
952 |
532 |
$31K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,373 |
1,434 |
$30K |
| J7320 |
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
128 |
50 |
$19K |
| 64484 |
|
501 |
302 |
$15K |
| L1851 |
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
22 |
14 |
$15K |
| G9012 |
Other specified case management service not elsewhere classified |
204 |
176 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
518 |
250 |
$9K |
| 99348 |
|
103 |
65 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
616 |
284 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
968 |
812 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$4K |
| 64405 |
|
58 |
29 |
$3K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
28 |
21 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
144 |
135 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
52 |
52 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
92 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
16 |
13 |
$585.00 |
| 99307 |
|
60 |
34 |
$372.96 |
| 99152 |
|
15 |
15 |
$184.05 |