| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,713 |
25,484 |
$434K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,083 |
3,554 |
$88K |
| 80305 |
|
7,785 |
6,862 |
$26K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
47 |
39 |
$15K |
| 99442 |
|
1,296 |
1,009 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
232 |
205 |
$8K |
| 96127 |
|
2,947 |
2,527 |
$7K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
57 |
48 |
$4K |
| 62323 |
|
82 |
71 |
$4K |
| 96103 |
|
481 |
436 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,206 |
1,002 |
$3K |
| 20611 |
|
15 |
12 |
$149.99 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
231 |
199 |
$25.20 |
| 96146 |
|
45 |
38 |
$24.77 |
| 81025 |
|
13 |
12 |
$24.09 |