| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,537 |
44,905 |
$2.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,859 |
39,731 |
$1.53M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
39,872 |
14,654 |
$1.20M |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
4,591 |
4,244 |
$924K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12,015 |
10,088 |
$889K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,494 |
8,886 |
$600K |
| 20610 |
|
9,513 |
6,844 |
$309K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
2,338 |
2,085 |
$194K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
583 |
528 |
$145K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,952 |
2,561 |
$100K |
| 73610 |
|
4,890 |
3,963 |
$77K |
| 73110 |
|
4,520 |
3,150 |
$70K |
| 73630 |
|
3,844 |
2,894 |
$62K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
219 |
196 |
$59K |
| 99050 |
|
3,233 |
2,970 |
$58K |
| 73562 |
|
3,489 |
2,729 |
$56K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
8,800 |
7,084 |
$46K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,215 |
973 |
$40K |
| 73030 |
|
2,145 |
1,626 |
$32K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,742 |
2,309 |
$31K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,800 |
984 |
$30K |
| 72100 |
|
1,467 |
1,244 |
$29K |
| 73130 |
|
1,692 |
1,161 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,998 |
1,758 |
$27K |
| 76942 |
|
358 |
318 |
$22K |
| 72110 |
|
897 |
713 |
$22K |
| 97016 |
|
3,615 |
1,422 |
$21K |
| 73560 |
|
1,284 |
970 |
$20K |
| 20611 |
|
443 |
353 |
$19K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
396 |
367 |
$19K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
450 |
412 |
$16K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
268 |
218 |
$15K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
5,066 |
2,117 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
510 |
437 |
$13K |
| 73140 |
|
988 |
668 |
$12K |
| 64721 |
|
53 |
39 |
$10K |
| 77002 |
|
261 |
223 |
$10K |
| 73565 |
|
609 |
507 |
$9K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
63 |
54 |
$9K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
473 |
184 |
$9K |
| 73620 |
|
553 |
486 |
$9K |
| 97162 |
|
204 |
171 |
$8K |
| 97161 |
|
143 |
120 |
$6K |
| 95886 |
|
189 |
128 |
$6K |
| 73221 |
|
26 |
24 |
$6K |
| 80305 |
|
1,036 |
931 |
$5K |
| 73502 |
|
213 |
184 |
$5K |
| 25600 |
|
29 |
24 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
397 |
291 |
$5K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
625 |
493 |
$4K |
| 99243 |
|
68 |
53 |
$4K |
| 72070 |
|
237 |
187 |
$4K |
| 62323 |
|
36 |
26 |
$4K |
| 72040 |
|
156 |
121 |
$3K |
| L3260 |
Surgical boot/shoe, each |
172 |
153 |
$3K |
| 29848 |
|
27 |
12 |
$3K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
168 |
118 |
$2K |
| 29425 |
|
37 |
26 |
$2K |
| 64493 |
|
14 |
12 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
603 |
499 |
$1K |
| 26600 |
|
14 |
12 |
$1K |
| 73564 |
|
83 |
50 |
$1K |
| 72050 |
|
32 |
29 |
$996.82 |
| 99406 |
|
95 |
84 |
$903.77 |
| 64494 |
|
14 |
12 |
$718.91 |
| 20550 |
|
27 |
15 |
$672.19 |
| E0141 |
Walker, rigid, wheeled, adjustable or fixed height |
17 |
12 |
$496.37 |
| 72170 |
|
32 |
28 |
$495.06 |
| 29075 |
|
18 |
12 |
$458.08 |
| 99221 |
|
16 |
12 |
$424.14 |
| 73080 |
|
17 |
13 |
$418.03 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
47 |
40 |
$357.44 |
| 20552 |
|
15 |
12 |
$339.21 |
| 29125 |
|
13 |
12 |
$188.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$162.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
489 |
276 |
$112.88 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
13 |
12 |
$55.23 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
26 |
13 |
$51.20 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
47 |
39 |
$0.02 |
| 99024 |
|
3,299 |
2,629 |
$0.00 |