| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,356 |
21,463 |
$924K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,220 |
5,277 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,666 |
6,101 |
$172K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,395 |
1,054 |
$68K |
| 73564 |
|
4,823 |
3,259 |
$52K |
| 20610 |
|
4,779 |
3,875 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,083 |
786 |
$33K |
| 73610 |
|
2,000 |
1,465 |
$29K |
| 73030 |
|
2,766 |
2,146 |
$24K |
| 73110 |
|
1,284 |
906 |
$19K |
| 73130 |
|
1,019 |
778 |
$17K |
| 73630 |
|
1,294 |
924 |
$15K |
| 29075 |
|
263 |
197 |
$13K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
123 |
103 |
$8K |
| 73100 |
|
418 |
313 |
$8K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
3,033 |
2,671 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,085 |
853 |
$5K |
| 73560 |
|
691 |
518 |
$5K |
| 99152 |
|
861 |
627 |
$3K |
| 73502 |
|
638 |
517 |
$3K |
| 20611 |
|
109 |
78 |
$3K |
| 73140 |
|
143 |
96 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
62 |
41 |
$2K |
| J3304 |
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg |
16 |
16 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
72 |
63 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
116 |
88 |
$2K |
| 62323 |
|
86 |
44 |
$1K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
103 |
61 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,259 |
898 |
$1K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
83 |
64 |
$917.14 |
| 97161 |
|
59 |
29 |
$706.07 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
40 |
27 |
$618.43 |
| 29405 |
|
56 |
28 |
$572.72 |
| 72110 |
|
115 |
67 |
$453.04 |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
50 |
28 |
$380.22 |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
37 |
13 |
$371.64 |
| 99153 |
Mod sedat endo service >5yrs |
159 |
147 |
$288.40 |
| G0480 |
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; 1-7 drug class(es), including metabolite(s) if performed |
70 |
41 |
$271.69 |
| 73600 |
|
35 |
24 |
$163.59 |
| 73562 |
|
58 |
25 |
$148.82 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
18 |
13 |
$132.53 |
| 99024 |
|
1,033 |
789 |
$117.65 |
| 73070 |
|
31 |
13 |
$108.21 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
44 |
36 |
$49.64 |
| A4465 |
Non-elastic binder for extremity |
94 |
71 |
$45.36 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
88 |
31 |
$21.96 |
| G8410 |
Footwear evaluation performed and documented |
113 |
91 |
$0.00 |
| A4565 |
Slings |
58 |
28 |
$0.00 |