| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,778 |
1,682 |
$13K |
| 99152 |
|
541 |
529 |
$12K |
| 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.) |
271 |
268 |
$5K |
| 99215 |
Prolong outpt/office vis |
349 |
337 |
$4K |
| 96136 |
|
321 |
305 |
$3K |
| 96127 |
|
1,750 |
1,634 |
$3K |
| 99499 |
|
48 |
25 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
340 |
326 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
418 |
413 |
$967.00 |
| 99153 |
Mod sedat endo service >5yrs |
67 |
67 |
$422.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
37 |
$310.80 |
| 99458 |
|
13 |
13 |
$278.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
381 |
365 |
$174.70 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
500 |
453 |
$167.24 |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
57 |
57 |
$144.50 |
| 99454 |
|
13 |
13 |
$130.78 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
145 |
143 |
$129.53 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
387 |
378 |
$127.59 |
| 99457 |
|
13 |
13 |
$114.92 |
| 99484 |
|
13 |
13 |
$101.92 |
| J2704 |
Injection, propofol, 10 mg |
322 |
317 |
$72.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
178 |
170 |
$57.59 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
719 |
477 |
$35.45 |