| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,505 |
21,626 |
$699K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,724 |
6,243 |
$255K |
| 80305 |
|
2,820 |
2,608 |
$26K |
| 99205 |
Prolong outpt/office vis |
336 |
230 |
$24K |
| 62323 |
|
449 |
305 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,065 |
1,217 |
$14K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,168 |
817 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
187 |
115 |
$8K |
| 99443 |
|
491 |
301 |
$5K |
| 96127 |
|
18,568 |
13,325 |
$2K |
| 72100 |
|
140 |
98 |
$2K |
| 96103 |
|
819 |
444 |
$1K |
| 20552 |
|
36 |
24 |
$560.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
942 |
685 |
$232.06 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
43 |
$50.74 |
| 99080 |
|
163 |
154 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
76 |
74 |
$0.00 |
| 3077F |
|
44 |
44 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
158 |
153 |
$0.00 |
| 1160F |
|
75 |
74 |
$0.00 |
| 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 |
15 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
24 |
24 |
$0.00 |
| 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 |
17 |
17 |
$0.00 |
| 3078F |
|
24 |
24 |
$0.00 |
| 1159F |
|
75 |
74 |
$0.00 |
| 3008F |
|
128 |
127 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
91 |
88 |
$0.00 |
| 3074F |
|
29 |
28 |
$0.00 |
| 1125F |
|
140 |
137 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
25 |
25 |
$0.00 |
| 3080F |
|
19 |
19 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |