| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,503 |
17,840 |
$1.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,181 |
4,074 |
$458K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,532 |
3,529 |
$368K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,666 |
1,616 |
$352K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,052 |
1,052 |
$206K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,352 |
2,274 |
$120K |
| 73630 |
|
2,506 |
2,092 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
296 |
296 |
$46K |
| 73610 |
|
1,301 |
1,195 |
$39K |
| 72141 |
|
172 |
172 |
$34K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
304 |
304 |
$27K |
| 20610 |
|
429 |
380 |
$25K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
167 |
167 |
$25K |
| 73110 |
|
606 |
496 |
$21K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
500 |
209 |
$19K |
| 29848 |
|
27 |
25 |
$13K |
| 73221 |
|
58 |
58 |
$11K |
| 73130 |
|
341 |
267 |
$11K |
| 73562 |
|
318 |
264 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
121 |
$9K |
| 11721 |
|
209 |
209 |
$7K |
| 72100 |
|
216 |
216 |
$7K |
| 73030 |
|
228 |
215 |
$6K |
| 73502 |
|
155 |
150 |
$6K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
61 |
49 |
$4K |
| 73564 |
|
69 |
59 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
216 |
209 |
$3K |
| 99051 |
|
228 |
227 |
$2K |
| 73140 |
|
53 |
53 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
72 |
24 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
92 |
92 |
$1K |
| 97165 |
|
12 |
12 |
$954.36 |
| 20611 |
|
13 |
12 |
$862.92 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
25 |
25 |
$293.59 |
| 99070 |
|
26 |
24 |
$187.05 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
25 |
24 |
$131.78 |
| 97010 |
|
287 |
118 |
$0.00 |