| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,165 |
2,060 |
$125K |
| 64635 |
|
25 |
24 |
$10K |
| 27093 |
|
42 |
42 |
$8K |
| 64493 |
|
26 |
26 |
$5K |
| 64636 |
|
25 |
24 |
$5K |
| 64494 |
|
26 |
26 |
$3K |
| 73525 |
|
43 |
43 |
$3K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
574 |
544 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
783 |
764 |
$609.72 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
26 |
25 |
$114.92 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
715 |
690 |
$9.53 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
210 |
202 |
$0.02 |
| 1123F |
|
71 |
65 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
42 |
42 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,048 |
1,925 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
745 |
693 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
55 |
55 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
148 |
146 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
27 |
27 |
$0.00 |