| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection,onabotulinumtoxina |
2,684 |
2,051 |
$1.84M |
| 97110 |
|
35,816 |
5,360 |
$870K |
| 97530 |
|
25,213 |
4,143 |
$701K |
| J0475 |
Baclofen 10 mg injection |
1,694 |
1,452 |
$469K |
| 64644 |
|
1,097 |
973 |
$318K |
| 62369 |
|
1,666 |
1,412 |
$220K |
| 97116 |
|
11,017 |
2,275 |
$184K |
| 64642 |
|
579 |
498 |
$168K |
| 97542 |
|
4,206 |
3,363 |
$156K |
| 97112 |
|
5,912 |
1,621 |
$136K |
| 97140 |
|
5,990 |
1,726 |
$100K |
| 97162 |
|
3,221 |
2,568 |
$98K |
| 99213 |
|
2,720 |
2,306 |
$91K |
| 99214 |
|
1,343 |
1,189 |
$75K |
| G0463 |
Hospital outpt clinic visit |
3,835 |
3,485 |
$63K |
| 99215 |
Prolong outpt/office vis |
726 |
618 |
$50K |
| 97750 |
|
1,254 |
830 |
$27K |
| 92507 |
|
807 |
139 |
$26K |
| 97032 |
|
3,527 |
997 |
$24K |
| 97113 |
|
260 |
65 |
$11K |
| 97161 |
|
303 |
244 |
$10K |
| 99203 |
|
156 |
135 |
$7K |
| 97014 |
|
945 |
258 |
$4K |
| 95913 |
|
31 |
25 |
$4K |
| 97166 |
|
68 |
52 |
$3K |
| 99212 |
|
177 |
155 |
$3K |
| 20611 |
|
17 |
14 |
$1K |
| 64646 |
|
14 |
13 |
$1K |
| 99204 |
|
13 |
12 |
$1K |
| 97165 |
|
30 |
25 |
$930.29 |
| L5673 |
Socket insert w lock mech |
28 |
24 |
$922.60 |
| 95886 |
|
445 |
375 |
$904.77 |
| 51784 |
|
12 |
12 |
$872.56 |
| 76770 |
|
14 |
13 |
$851.83 |
| 87086 |
|
103 |
91 |
$710.31 |
| 97163 |
|
19 |
13 |
$447.51 |
| 97535 |
|
227 |
139 |
$74.39 |
| 81003 |
|
13 |
12 |
$24.90 |
| 36415 |
|
15 |
14 |
$13.50 |
| G0283 |
Elec stim other than wound |
232 |
65 |
$5.48 |
| G8980 |
Mobility d/c status |
93 |
91 |
$0.63 |
| L2840 |
Tibial length sock fx or equ |
16 |
13 |
$0.00 |
| L2280 |
Molded inner boot |
28 |
25 |
$0.00 |
| 51600 |
|
12 |
12 |
$0.00 |
| L5940 |
Endo bk ultra-light material |
12 |
12 |
$0.00 |
| L1970 |
Afo plastic molded w/ankle j |
14 |
13 |
$0.00 |
| L2200 |
Limited ankle motion ea jnt |
14 |
13 |
$0.00 |
| L5629 |
Below knee acrylic socket |
13 |
13 |
$0.00 |
| L2275 |
Plastic mod low ext pad/line |
30 |
26 |
$0.00 |
| 64643 |
|
374 |
318 |
$0.00 |
| G8979 |
Mobility goal status |
409 |
378 |
$0.00 |
| G8978 |
Mobility current status |
376 |
352 |
$0.00 |
| 97150 |
|
122 |
54 |
$0.00 |
| L5671 |
Bk/ak locking mechanism |
12 |
12 |
$0.00 |
| L5637 |
Below knee total contact |
13 |
13 |
$0.00 |
| L5910 |
Endo below knee alignable sy |
12 |
12 |
$0.00 |