| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,767 |
15,530 |
$414K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,707 |
3,898 |
$138K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,875 |
1,360 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,102 |
2,720 |
$48K |
| 20610 |
|
5,077 |
3,251 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
431 |
306 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
661 |
392 |
$9K |
| 73562 |
|
1,572 |
888 |
$8K |
| 64483 |
|
125 |
116 |
$7K |
| 72100 |
|
2,086 |
1,347 |
$7K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
4,129 |
2,924 |
$6K |
| 62323 |
|
73 |
67 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,064 |
333 |
$5K |
| 73630 |
|
791 |
353 |
$3K |
| 64493 |
|
70 |
52 |
$3K |
| 80305 |
|
1,549 |
1,349 |
$3K |
| 73610 |
|
372 |
202 |
$2K |
| 72110 |
|
111 |
73 |
$824.91 |
| 27096 |
|
12 |
12 |
$672.25 |
| 73600 |
|
265 |
85 |
$593.30 |
| 99201 |
|
57 |
53 |
$590.37 |
| 64451 |
|
16 |
12 |
$588.58 |
| 73130 |
|
128 |
56 |
$449.06 |
| 73560 |
|
161 |
77 |
$356.29 |
| 73030 |
|
101 |
52 |
$344.95 |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
30 |
12 |
$275.10 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
127 |
111 |
$269.40 |
| 73620 |
|
42 |
26 |
$238.73 |
| 64494 |
|
34 |
26 |
$219.96 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
46 |
44 |
$197.63 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
40 |
39 |
$152.46 |
| 72040 |
|
69 |
38 |
$103.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
12 |
$5.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
22 |
12 |
$0.27 |
| 93041 |
|
25 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
12 |
$0.00 |
| 97161 |
|
40 |
16 |
$0.00 |