| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,704 |
2,346 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,044 |
4,672 |
$213K |
| 20610 |
|
1,950 |
1,392 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
36 |
$1K |
| 73560 |
|
325 |
266 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
879 |
724 |
$841.94 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
418 |
370 |
$794.50 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
62 |
57 |
$163.16 |
| 73221 |
|
13 |
12 |
$92.60 |
| 99024 |
|
159 |
136 |
$88.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
28 |
$49.49 |
| 73030 |
|
32 |
28 |
$47.73 |
| 72100 |
|
31 |
26 |
$19.22 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
27 |
24 |
$0.00 |