| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,238 |
824 |
$66K |
| 20552 |
|
953 |
623 |
$40K |
| 27096 |
|
56 |
30 |
$13K |
| 62323 |
|
43 |
26 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
20 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
406 |
282 |
$711.84 |
| 72190 |
|
34 |
26 |
$674.86 |
| 20610 |
|
20 |
17 |
$588.84 |
| 20550 |
|
33 |
20 |
$520.79 |
| 72070 |
|
18 |
14 |
$336.68 |
| 72100 |
|
16 |
15 |
$330.33 |
| 73030 |
|
20 |
13 |
$298.85 |
| 73502 |
|
21 |
18 |
$239.10 |
| 72200 |
|
21 |
16 |
$156.10 |
| 72120 |
|
17 |
15 |
$128.56 |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
32 |
24 |
$113.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
224 |
162 |
$96.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
197 |
145 |
$49.16 |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
32 |
24 |
$29.26 |
| 1123F |
|
1,269 |
838 |
$0.16 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,270 |
836 |
$0.12 |
| 1036F |
|
860 |
571 |
$0.12 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
342 |
227 |
$0.10 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
672 |
427 |
$0.02 |
| 1034F |
|
189 |
111 |
$0.02 |
| 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 |
34 |
27 |
$0.00 |