| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
2,923 |
2,923 |
$19K |
| 27096 |
|
353 |
266 |
$14K |
| 20552 |
|
418 |
409 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
683 |
656 |
$3K |
| 20553 |
|
316 |
313 |
$2K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
784 |
718 |
$1K |
| 64493 |
|
157 |
100 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$826.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
361 |
$821.28 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$661.46 |
| 77002 |
|
65 |
64 |
$579.11 |
| 64494 |
|
157 |
100 |
$510.86 |
| 64484 |
|
38 |
25 |
$439.83 |
| 20610 |
|
59 |
58 |
$355.79 |
| 64483 |
|
38 |
25 |
$344.02 |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
12 |
12 |
$323.90 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
102 |
99 |
$226.98 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
403 |
399 |
$207.53 |
| 76942 |
|
58 |
58 |
$106.11 |
| 64495 |
|
19 |
12 |
$74.09 |
| 93042 |
|
110 |
109 |
$26.87 |