| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1568 |
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg |
387 |
218 |
$2.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,232 |
16,724 |
$1.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,634 |
23,032 |
$1.68M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13,359 |
12,695 |
$1.41M |
| 20610 |
|
11,316 |
8,982 |
$1.03M |
| 73564 |
|
4,585 |
3,243 |
$163K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
132 |
130 |
$135K |
| 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 |
222 |
179 |
$126K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
681 |
651 |
$97K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
319 |
157 |
$83K |
| 73630 |
|
2,643 |
1,950 |
$83K |
| 64483 |
|
263 |
246 |
$79K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
413 |
186 |
$70K |
| L0651 |
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf |
191 |
143 |
$68K |
| 72100 |
|
1,644 |
1,586 |
$67K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
244 |
233 |
$55K |
| 73610 |
|
1,587 |
1,323 |
$51K |
| 73130 |
|
1,518 |
1,134 |
$47K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
3,315 |
3,047 |
$45K |
| 72110 |
|
840 |
791 |
$45K |
| 73010 |
|
1,113 |
922 |
$34K |
| 73020 |
|
1,223 |
1,003 |
$33K |
| 95886 |
|
264 |
262 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
496 |
474 |
$24K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
96 |
96 |
$20K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
504 |
285 |
$19K |
| 95885 |
|
309 |
291 |
$18K |
| 73110 |
|
568 |
429 |
$18K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
28 |
26 |
$13K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
39 |
28 |
$12K |
| 72040 |
|
277 |
271 |
$11K |
| 64615 |
|
80 |
80 |
$10K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
71 |
56 |
$10K |
| 72052 |
|
138 |
131 |
$9K |
| L0627 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
59 |
55 |
$8K |
| 73502 |
|
208 |
199 |
$8K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
904 |
768 |
$8K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,160 |
858 |
$8K |
| 95909 |
|
43 |
43 |
$8K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
477 |
270 |
$7K |
| 64479 |
|
27 |
24 |
$6K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
154 |
113 |
$6K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
93 |
85 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
485 |
470 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
405 |
254 |
$5K |
| L0631 |
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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
12 |
12 |
$4K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
116 |
91 |
$3K |
| 20553 |
|
85 |
84 |
$3K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
139 |
139 |
$2K |
| 20605 |
|
39 |
36 |
$2K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
47 |
39 |
$1K |
| 73140 |
|
42 |
40 |
$1K |
| 20550 |
|
14 |
12 |
$982.63 |
| 73562 |
|
33 |
26 |
$896.24 |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
18 |
14 |
$867.99 |
| 29125 |
|
14 |
12 |
$847.45 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
366 |
230 |
$547.62 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
31 |
26 |
$115.56 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
103 |
103 |
$1.85 |