| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64493 |
|
3,315 |
2,046 |
$368K |
| 64405 |
|
3,540 |
1,959 |
$306K |
| 76942 |
|
3,458 |
3,339 |
$228K |
| 20552 |
|
4,412 |
4,264 |
$160K |
| 64494 |
|
3,246 |
2,002 |
$131K |
| 20610 |
|
2,009 |
1,092 |
$127K |
| 20611 |
|
3,130 |
1,840 |
$89K |
| 64635 |
|
907 |
625 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,279 |
6,961 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,054 |
1,054 |
$48K |
| 64483 |
|
525 |
418 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,540 |
3,348 |
$35K |
| 64636 |
|
891 |
615 |
$23K |
| 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 |
74 |
74 |
$21K |
| 64490 |
|
151 |
106 |
$14K |
| 99499 |
|
449 |
394 |
$12K |
| 80305 |
|
2,652 |
2,643 |
$10K |
| 64484 |
|
220 |
176 |
$9K |
| 27096 |
|
76 |
60 |
$5K |
| 64491 |
|
151 |
106 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
127 |
$3K |
| 99442 |
|
129 |
123 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
89 |
$205.37 |