| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,951 |
24,216 |
$1.22M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
30,566 |
25,563 |
$974K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,828 |
6,151 |
$207K |
| 64635 |
|
259 |
232 |
$66K |
| 64483 |
|
588 |
474 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
763 |
651 |
$37K |
| 64636 |
|
319 |
242 |
$30K |
| 80305 |
|
6,188 |
4,958 |
$22K |
| 64493 |
|
219 |
156 |
$18K |
| 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 |
21 |
21 |
$13K |
| 64494 |
|
255 |
157 |
$8K |
| 62323 |
|
42 |
41 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
205 |
160 |
$4K |
| 99408 |
|
2,353 |
2,090 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
177 |
152 |
$3K |
| 64484 |
|
100 |
78 |
$3K |
| 72110 |
|
158 |
146 |
$3K |
| 27096 |
|
57 |
40 |
$2K |
| 72100 |
|
139 |
131 |
$2K |
| 99401 |
|
879 |
725 |
$2K |
| 64495 |
|
29 |
24 |
$754.48 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
3,370 |
2,593 |
$597.00 |
| 97014 |
|
60 |
49 |
$551.59 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
58 |
52 |
$510.27 |
| 98940 |
|
38 |
34 |
$470.63 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
661 |
429 |
$440.67 |
| 77002 |
|
15 |
12 |
$253.26 |
| 72040 |
|
12 |
12 |
$225.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,887 |
1,577 |
$168.09 |
| 96127 |
|
80 |
75 |
$163.55 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
716 |
604 |
$74.52 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |