| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
3,503 |
3,387 |
$1.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,121 |
11,868 |
$889K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,332 |
7,491 |
$817K |
| 99215 |
Prolong outpt/office vis |
3,900 |
3,568 |
$675K |
| 20610 |
|
4,053 |
3,593 |
$293K |
| 73564 |
|
2,709 |
2,660 |
$156K |
| 29075 |
|
1,557 |
672 |
$133K |
| 72110 |
|
1,502 |
1,472 |
$106K |
| 73130 |
|
2,439 |
2,226 |
$101K |
| 73110 |
|
2,265 |
1,988 |
$91K |
| 73030 |
|
1,858 |
1,784 |
$74K |
| 73610 |
|
1,892 |
1,715 |
$73K |
| 73630 |
|
1,674 |
1,554 |
$65K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
6,699 |
6,012 |
$59K |
| 72050 |
|
946 |
935 |
$58K |
| 29125 |
|
1,030 |
580 |
$56K |
| 73502 |
|
635 |
618 |
$37K |
| 20611 |
|
603 |
523 |
$36K |
| A4550 |
Surgical trays |
92 |
89 |
$36K |
| 73080 |
|
772 |
702 |
$31K |
| 29425 |
|
237 |
104 |
$26K |
| 73562 |
|
820 |
707 |
$23K |
| 29515 |
|
311 |
140 |
$19K |
| 20550 |
|
370 |
336 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,341 |
1,220 |
$18K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
255 |
254 |
$17K |
| 29876 |
|
24 |
24 |
$17K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
5,949 |
5,291 |
$15K |
| 72170 |
|
552 |
547 |
$14K |
| 99422 |
|
115 |
114 |
$14K |
| 99423 |
|
61 |
59 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
177 |
$8K |
| 20551 |
|
103 |
99 |
$7K |
| 76000 |
|
79 |
58 |
$6K |
| 99421 |
|
64 |
62 |
$5K |
| 72074 |
|
52 |
52 |
$5K |
| 73590 |
|
111 |
107 |
$4K |
| 20605 |
|
83 |
78 |
$3K |
| 99245 |
|
48 |
48 |
$3K |
| A6450 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard |
524 |
493 |
$3K |
| 73000 |
|
42 |
40 |
$3K |
| 73140 |
|
61 |
59 |
$2K |
| 73565 |
|
46 |
45 |
$1K |
| 73090 |
|
14 |
13 |
$575.24 |
| A4590 |
Special casting material (e.g., fiberglass) |
30 |
27 |
$400.00 |
| 99243 |
|
13 |
13 |
$267.75 |
| 72080 |
|
16 |
14 |
$218.87 |
| 99024 |
|
184 |
168 |
$0.00 |