| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,844 |
3,578 |
$555K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,267 |
2,253 |
$451K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,149 |
2,935 |
$255K |
| 29125 |
|
3,451 |
3,111 |
$205K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
749 |
746 |
$94K |
| 76881 |
|
994 |
977 |
$64K |
| 64450 |
|
590 |
564 |
$43K |
| 73110 |
|
929 |
759 |
$34K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
611 |
490 |
$33K |
| 73130 |
|
953 |
802 |
$31K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
170 |
154 |
$31K |
| 76000 |
|
892 |
809 |
$28K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
757 |
728 |
$19K |
| 76942 |
|
275 |
270 |
$16K |
| 73140 |
|
425 |
365 |
$16K |
| 29085 |
|
43 |
38 |
$4K |
| 77071 |
|
42 |
37 |
$2K |
| 20550 |
|
64 |
63 |
$2K |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
449 |
433 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$1K |
| 29130 |
|
14 |
12 |
$706.50 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
344 |
336 |
$463.69 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
18 |
13 |
$219.90 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
13 |
13 |
$59.18 |
| Q4049 |
Finger splint, static |
21 |
16 |
$36.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,525 |
1,407 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
467 |
457 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
444 |
413 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
228 |
212 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
107 |
104 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
237 |
231 |
$0.00 |
| 1123F |
|
37 |
36 |
$0.00 |
| 99024 |
|
17 |
13 |
$0.00 |