| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 27096 |
|
4,407 |
1,695 |
$276K |
| 64635 |
|
1,916 |
1,214 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,736 |
1,392 |
$46K |
| 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 |
62 |
48 |
$40K |
| 64493 |
|
587 |
300 |
$27K |
| 64490 |
|
387 |
142 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
998 |
767 |
$17K |
| 20611 |
|
297 |
114 |
$13K |
| 64494 |
|
523 |
264 |
$12K |
| 64495 |
|
475 |
240 |
$11K |
| 64492 |
|
347 |
125 |
$10K |
| 64491 |
|
349 |
126 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
79 |
$6K |
| 76942 |
|
51 |
25 |
$3K |
| 77002 |
|
50 |
46 |
$2K |
| 64636 |
|
20 |
16 |
$681.15 |
| 20552 |
|
18 |
12 |
$332.46 |
| 80305 |
|
22 |
12 |
$107.60 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,755 |
994 |
$83.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,545 |
899 |
$25.53 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
883 |
451 |
$1.38 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
101 |
70 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
530 |
275 |
$0.00 |