| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,247 |
2,384 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,388 |
1,202 |
$101K |
| 20610 |
|
857 |
467 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
447 |
406 |
$23K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
103 |
85 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
471 |
$18K |
| 73560 |
|
983 |
733 |
$13K |
| 73610 |
|
664 |
477 |
$9K |
| 73565 |
|
729 |
616 |
$9K |
| 73630 |
|
632 |
460 |
$8K |
| 73110 |
|
505 |
324 |
$7K |
| 73130 |
|
295 |
204 |
$4K |
| 73030 |
|
328 |
267 |
$4K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
25 |
21 |
$4K |
| 72100 |
|
141 |
123 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
231 |
165 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
269 |
233 |
$2K |
| 29075 |
|
14 |
12 |
$768.07 |
| 99215 |
Prolong outpt/office vis |
20 |
14 |
$752.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
28 |
$351.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
48 |
41 |
$218.97 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
117 |
104 |
$74.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
51 |
39 |
$42.00 |
| J3490 |
Unclassified drugs |
162 |
109 |
$30.00 |
| 99024 |
|
753 |
523 |
$0.00 |
| 99051 |
|
32 |
28 |
$0.00 |