| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,412 |
10,750 |
$1.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,152 |
5,752 |
$470K |
| 20553 |
|
2,917 |
2,097 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
653 |
606 |
$102K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,292 |
1,146 |
$36K |
| 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 |
75 |
56 |
$33K |
| 80305 |
|
2,061 |
1,632 |
$21K |
| 20552 |
|
434 |
368 |
$18K |
| 95923 |
|
181 |
169 |
$15K |
| 93922 |
|
181 |
170 |
$14K |
| 95921 |
|
183 |
171 |
$9K |
| 96138 |
|
124 |
121 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
80 |
$5K |
| 99484 |
|
164 |
150 |
$3K |
| 99439 |
|
113 |
112 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
20 |
17 |
$3K |
| 96132 |
|
106 |
103 |
$2K |
| 76942 |
|
69 |
55 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
96 |
94 |
$1K |
| 96160 |
|
388 |
355 |
$966.44 |
| 96130 |
|
90 |
88 |
$928.99 |
| 99489 |
Ccm add 20min |
18 |
18 |
$705.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$346.80 |
| 99422 |
|
20 |
13 |
$127.91 |
| 99490 |
Ccm add 20min |
113 |
112 |
$0.00 |
| 99487 |
Ccm add 20min |
18 |
18 |
$0.00 |
| 99408 |
|
27 |
18 |
$0.00 |