| Code | Description | Claims | Beneficiaries | Total Paid |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
54 |
54 |
$195K |
| 64484 |
|
355 |
348 |
$41K |
| 64483 |
|
359 |
350 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,082 |
1,063 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
523 |
516 |
$12K |
| 99490 |
Ccm add 20min |
352 |
352 |
$1K |
| 99491 |
Ccm add 20min |
93 |
93 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
738 |
716 |
$1K |
| 99439 |
|
87 |
87 |
$878.96 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
105 |
68 |
$596.08 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
154 |
153 |
$543.29 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
37 |
26 |
$173.24 |
| 20552 |
|
38 |
38 |
$76.82 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
426 |
423 |
$60.37 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
248 |
248 |
$8.80 |
| 97010 |
|
12 |
12 |
$3.32 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
39 |
39 |
$0.00 |
| 1036F |
|
27 |
27 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
60 |
60 |
$0.00 |
| 3288F |
|
60 |
60 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
93 |
86 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
19 |
18 |
$0.00 |