| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,066 |
11,113 |
$596K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,484 |
5,067 |
$301K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
260 |
259 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
593 |
550 |
$19K |
| 64483 |
|
153 |
131 |
$18K |
| 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 |
13 |
12 |
$9K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
340 |
165 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
391 |
211 |
$7K |
| 64484 |
|
89 |
75 |
$5K |
| 96127 |
|
1,083 |
1,023 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
131 |
69 |
$3K |
| 64493 |
|
29 |
24 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
113 |
82 |
$2K |
| 20553 |
|
57 |
51 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
936 |
871 |
$986.67 |
| 27096 |
|
16 |
13 |
$980.70 |
| 64450 |
|
13 |
12 |
$386.24 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,253 |
1,057 |
$372.15 |
| 99072 |
|
991 |
827 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
65 |
$0.00 |