| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,498 |
8,767 |
$587K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
5,340 |
4,816 |
$203K |
| 99215 |
Prolong outpt/office vis |
2,101 |
1,833 |
$142K |
| 99245 |
|
721 |
708 |
$130K |
| 99358 |
Prolong nursin fac eval 15m |
1,808 |
1,502 |
$105K |
| 20553 |
|
1,652 |
1,487 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,021 |
929 |
$62K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
101 |
66 |
$54K |
| 20611 |
|
659 |
591 |
$37K |
| 62323 |
|
205 |
195 |
$24K |
| 27096 |
|
115 |
112 |
$18K |
| 64635 |
|
71 |
55 |
$18K |
| 64493 |
|
115 |
106 |
$18K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
840 |
777 |
$16K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
86 |
84 |
$13K |
| 80305 |
|
1,505 |
1,449 |
$12K |
| 72100 |
|
333 |
323 |
$9K |
| 64494 |
|
102 |
92 |
$9K |
| 64636 |
|
71 |
55 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,901 |
1,733 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
307 |
277 |
$4K |
| 64490 |
|
25 |
25 |
$3K |
| 72110 |
|
77 |
70 |
$2K |
| 64491 |
|
13 |
13 |
$1K |
| 76942 |
|
66 |
57 |
$809.26 |
| J3490 |
Unclassified drugs |
359 |
320 |
$646.13 |
| 99205 |
Prolong outpt/office vis |
38 |
37 |
$582.03 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,404 |
1,275 |
$559.16 |
| 20610 |
|
13 |
12 |
$509.60 |
| 72114 |
|
17 |
15 |
$463.05 |
| 73560 |
|
16 |
12 |
$254.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
303 |
276 |
$126.07 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,403 |
2,087 |
$13.39 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
107 |
103 |
$3.29 |
| 77003 |
|
15 |
12 |
$0.00 |